24D2251170 CLIA NUMBER - NORTH HOMES CHILDREN AND FAMILY SERVICES

Laboratory Demographics

CLIA Number: 24D2251170

Facility Name: NORTH HOMES CHILDREN AND FAMILY SERVICES

Facility Address:
1880 RIVER ROAD
GRAND RAPIDS, MN
ZIP 55744
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Facility Phone Number: 218 360-0019

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1639244627

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	24D2251170
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	NORTH HOMES CHILDREN AND FAMILY SERVICES
Street	1880 RIVER ROAD
City	GRAND RAPIDS
State	MN
ZIP	55744
Phone	218 360-0019
CertificateType	4
CertificateEffectiveDate	2/1/2024
CertificateExpirationDate	1/31/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024