OrganizationActive
Prairie Pines Community
NPI 1407268642 · Assisted Living Facility · Fosston, MN
Provider details
- NPI number
- 1407268642
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- First Care Medical Services
- Organization subpart
- Yes
- Authorized official
- Kim Bodensteiner, Cfo(218) 435-7633
- License
- 364748 (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
903 Praire Pines Drive
Fosston, MN 56542
Phone: (218) 435-7682
Fax: (701) 364-8476
Street-level locationGet directions
Mailing address
900 Hilligoss Blvd Se
Fosston, MN 56542-1542
Other names (DBA / former)
- Doing business as
- Essentia Health Fosston
- Doing business as
- Essentia Health Fosston
Registry dates
- Enumerated
- 2014-05-22
- Last updated
- 2021-10-01
- Certified
- 2021-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.