KELLY NORTON PROGRAMS NPI 1154498871

NPI Information

  • NPI: 1154498871
  • Provider Name: KELLY NORTON PROGRAMS
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Other Name: BILL KELLY HOUSE
  • Address: 3104 E 58TH ST
    MINNEAPOLIS, MN
    ZIP 55417
  • Phone: (612) 726-1502

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NPI Details

KELLY NORTON PROGRAMS is a community based residential treatment facility mental illness in Minneapolis, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. KELLY NORTON PROGRAMS NPI is 1154498871. The provider is registered as an organization entity type.
The provider Other Name Is Bill Kelly House.

The provider's business location address is:

3104 E 58TH ST
MINNEAPOLIS, MN
ZIP 55417-800
Phone: (612) 726-1502
Fax: (612) 726-1009

The provider's authorized official is Hugh Aylward .
The authorized official title is Treatment Director and has the following contact phone number (612) 726-1502.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/22/2020.

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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness331212MINNESOTAYes

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: 3/30/2025

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