Ccri, Inc
Ccri, Inc is a healthcare organization registered as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Moorhead, MN, holding Type 2 (organization) NPI 1295870699 since 2007. The authorized official on file is Shannon Bock, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295870699 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ccri, Inc |
| Other name | <Unavail> |
| Practice address | 2903 15TH ST S, Moorhead, MN, 56560 |
| Phone | 2182366730 |
| Fax | 2182361481 |
| Enumeration date | 2007-02-21 |
| Last updated in NPPES | 2014-08-13 |
Authorized official
| Name | Shannon Bock |
|---|---|
| Title | Executive Director |
| Phone | 2182366730 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251E00000X | Home Health Agency | Secondary | — | MN |
| 251S00000X | Community/Behavioral Health Agency | Secondary | — | MN |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Secondary | — | MN |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Primary | 800502 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001418000 | Medicaid | MN | — |
| 304720200 | Medicaid | MN | — |
| 702420000 | Medicaid | MN | — |
| 403445700 | Medicaid | MN | — |
| 409343700 | Medicaid | MN | — |
Copy-ready billing details
Provider: Ccri, Inc NPI: 1295870699 Taxonomy: 320900000X (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) Address: 2903 15TH ST S, Moorhead, MN, 56560
Verify this record
Cross-check NPI 1295870699 against the authoritative CMS record: view Ccri, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Ccri, Inc?
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Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2014-08-13.