NORTHWOOD CHILDREN'S HOME SOCIETY INC NPI 1588720494

NPI Information

NPI: 1588720494
Provider Name: NORTHWOOD CHILDREN'S HOME SOCIETY INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 24D0950776

Address:
714 W COLLEGE ST
DULUTH, MN
ZIP 55811
Phone: (218) 724-8815
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NORTHWOOD CHILDREN'S HOME SOCIETY INC 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. NORTHWOOD CHILDREN'S HOME SOCIETY INC NPI is 1588720494. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

714 W COLLEGE ST
DULUTH, MN
ZIP 55811-906
Phone: (218) 724-8815
Fax: (218) 724-0251

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 CLIA number assigned to this NPI record is 24D0950776 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	101Y00000X	Counselor			No
2	103T00000X	Psychologist			No
3	104100000X	Social Worker			No
4	320800000X	Community Based Residential Treatment Facility, Mental Illness	801775	MINNESOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8457171	OTHER	MINNESOTA	MEDICA
2	8415NO	OTHER	MINNESOTA	BCBS

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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