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NORTHWOOD CHILDREN'S HOME SOCIETY INC NPI 1295891083


NPI Information

NPI: 1295891083
Provider Name: NORTHWOOD CHILDREN'S HOME SOCIETY INC

Doing Business As: NORTHWOOD CHILDREN'S SERVICES DA CENTER

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
510 W QUINCE ST
DULUTH, MN
ZIP 55811
Phone: (218) 625-0189
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NORTHWOOD CHILDREN'S HOME SOCIETY INC is a residential treatment facility emotionally disturbed children in Duluth, MN. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. NORTHWOOD CHILDREN'S HOME SOCIETY INC NPI is 1295891083. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northwood Children's Services Da Center.

The provider's business location address is:

510 W QUINCE ST
DULUTH, MN
ZIP 55811
Phone: (218) 625-0189

The provider's authorized official is Melissa Winkler .
The authorized official title is Director Of Quality Assurance and has the following contact phone number (218) 625-2638.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 5/12/2021.


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
1101Y00000XCounselorNo
2103T00000XPsychologistNo
3104100000XSocial WorkerNo
4322D00000XResidential Treatment Facility, Emotionally Disturbed Children801777MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10292NOOTHERBCBS
28457171OTHERMEDICA

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

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