1150 GROUP HOME NPI 1548782790

NPI Information

NPI: 1548782790
Provider Name: 1150 GROUP HOME
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1150 N. COLLINS AVEUE
MANDAN, ND
ZIP 58554
Phone: (701) 663-0379
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1150 GROUP HOME is an intermediate care facility mentally retarded in Mandan, ND. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. 1150 GROUP HOME NPI is 1548782790. The provider is registered as an organization entity type.

The provider's business location address is:

1150 N. COLLINS AVEUE
MANDAN, ND
ZIP 58554
Phone: (701) 663-0379

The provider's authorized official is Paul Kramer .
The authorized official title is Cfo and has the following contact phone number (701) 667-8614.

The enumeration date for this NPI number is 7/10/2017 and was last updated on 4/17/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			NORTH DAKOTA	Yes

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

NPI Synchronization or Removal

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