Prairie Bluffs Rehabilitation Center LLC
NPI 1639707177ActiveOrganization· Skilled Nursing Facility· Eden Prairie, MN
Skilled Nursing Facility in Eden Prairie, Minnesota, registered in NPPES in March 2020. The authorized official on file is Joshua Legum, Ceo.
Overview
| NPI | 1639707177 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2020 |
| Last updated in NPPES | Mar 30, 2020 |
| Certified by provider | Mar 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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