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HEARTLAND HOMES OF DULUTH LLC NPI 1013085729


NPI Information

NPI: 1013085729
Provider Name: HEARTLAND HOMES OF DULUTH LLC

Other Name: HEARTLAND HOMES OF DULUTH

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
4712 PEABODY ST
DULUTH, MN
ZIP 55804
Phone: (218) 525-3471
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HEARTLAND HOMES OF DULUTH LLC is a community based residential treatment facility mental illness in Duluth, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. HEARTLAND HOMES OF DULUTH LLC NPI is 1013085729. The provider is registered as an organization entity type.
The provider Other Name Is Heartland Homes Of Duluth.

The provider's business location address is:

4712 PEABODY ST
DULUTH, MN
ZIP 55804-520
Phone: (218) 525-3471

The provider's authorized official is Jennifer Lee Klaas .
The authorized official title is Owner Operator and has the following contact phone number (218) 391-9966.

The enumeration date for this NPI number is 12/1/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness10446821AFCMINNESOTAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.