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Active NPI 1659445229 Organization (Entity Type 2) Subpart Facility

C.a.r.e.-Brainerd

Substance Abuse Rehabilitation Facility • Brainerd, MN

Parent Organization: Community Addiction Recovery Enterprise

About C.a.r.e.-Brainerd NPI 1659445229 Summary

C.A.R.E.-Brainerd is a verified healthcare organization specializing in Substance Abuse Rehabilitation Facility operating in Brainerd, MN. Located at 11800 STATE AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1659445229.

C.A.R.E.-Brainerd operates as a subpart facility of Community Addiction Recovery Enterprise. Administrative operations and authorized compliance are overseen by Kimmerly Cardinal (Accounts Receivable Supervisor).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

11800 State Ave

Brainerd, MN 564017308

Telephone 2188282201

Authorized Official Information

Authorized Contact Name

Kimmerly Cardinal

Title / Role

Accounts Receivable Supervisor

Official Telephone

6514313693

Facility Classifications & Specialties

Substance Abuse Rehabilitation Facility Primary Taxonomy

NUCC Taxonomy Code: 324500000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Susan Dudding , CNP NPI 1659434744

Nurse Practitioner - Family

Brainerd, MN

View Practitioner Profile →

Dr. John Koop , PharmD NPI 1679648414

Pharmacist - Pharmacotherapy

Brainerd, MN

View Practitioner Profile →

Susan Mathison-Young , NURSE PRACTITIONER NPI 1841206901

Nurse Practitioner - Gerontology

Brainerd, MN

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active February 27, 2009

NPI status registered as active in NPPES database

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Updated Practice Location February 27, 2009

Registered at 11800 STATE AVE, BRAINERD, MN 564017308 (Tel: 2188282201)

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Updated Business Mailing Address February 27, 2009

Registered at PO BOX 64979, SAINT PAUL, MN 551640979

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Organization / Clinic Name Updated February 27, 2009

Operating as C.A.R.E.-BRAINERD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2009

Substance Abuse Rehabilitation Facility (License #331076 in MN)

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Initial NPI Registration & Enumeration November 17, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1659445229

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: November 17, 2006

Last Update: November 09, 2023

Update or Correct Listing

Mailing Address

Po Box 64979

Saint Paul, MN 551640979

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.