THERAPEUTIC COMMUNITY RESIDENCE INC. NPI 1508936980

NPI Information

  • NPI: 1508936980
  • Provider Name: THERAPEUTIC COMMUNITY RESIDENCE, INC.
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 28100 NEWBERRY TRAIL
    LINDSTROM, MN
    ZIP 55045
  • Phone: (651) 257-1507

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NPI Details

THERAPEUTIC COMMUNITY RESIDENCE, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Lindstrom, MN. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. THERAPEUTIC COMMUNITY RESIDENCE, INC. NPI is 1508936980. The provider is registered as an organization entity type.

The provider's business location address is:

28100 NEWBERRY TRAIL
LINDSTROM, MN
ZIP 55045-078
Phone: (651) 257-1507

The provider's authorized official is Daniel Mcnally .
The authorized official title is Administrator and has the following contact phone number (651) 257-1507.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities802495MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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