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HIT INC. 1301 GROUPHOME NPI 1578835641


NPI Information

NPI: 1578835641
Provider Name: HIT INC. 1301 GROUPHOME
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 35D2084032

Address:
1301 7TH AVE SE
MANDAN, ND
ZIP 58554
Phone: (701) 663-0379
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HIT INC. 1301 GROUPHOME is an intermediate care facility mentally retarded in Mandan, ND. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HIT INC. 1301 GROUPHOME NPI is 1578835641. The provider is registered as an organization entity type.

The provider's business location address is:

1301 7TH AVE SE
MANDAN, ND
ZIP 58554
Phone: (701) 663-0379

The provider's authorized official is Mike Remboldt .
The authorized official title is Ceo and has the following contact phone number (701) 663-0379.

The CLIA number assigned to this NPI record is 35D2084032 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2012 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesNORTH DAKOTAYes

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
130836MEDICAIDNORTH DAKOTA

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.