PINE MANORS INC NPI 1568560902

NPI Information

  • NPI: 1568560902
  • Provider Name: PINE MANORS INC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 24D2115080
  • Address: 22195 STATE 34
    NEVIS, MN
    ZIP 56467
  • Phone: (218) 732-4337

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NPI Details

PINE MANORS INC is a substance abuse rehabilitation facility in Nevis, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PINE MANORS INC NPI is 1568560902. The provider is registered as an organization entity type.

The provider's business location address is:

22195 STATE 34
NEVIS, MN
ZIP 56467
Phone: (218) 732-4337
Fax: (218) 732-0399

The provider's authorized official is Rachel Jean Mueller .
The authorized official title is Director Chief Operating Officer and has the following contact phone number (218) 732-4337.

The CLIA number assigned to this NPI record is 24D2115080 - other - slf with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 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
1324500000XSubstance Abuse Rehabilitation Facility8019182CDTMINNESOTAYes

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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