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ANGEL ARMS LLC ELAINE NIEHAUS NPI 1497823181


NPI Information

NPI: 1497823181
Provider Name: ANGEL ARMS LLC ELAINE NIEHAUS

Other Name: ANGEL ARMS LLC

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1228 10TH AVE N
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 230-0764
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ANGEL ARMS LLC ELAINE NIEHAUS is a community based residential treatment facility mental illness in Saint Cloud, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ANGEL ARMS LLC ELAINE NIEHAUS NPI is 1497823181. The provider is registered as an organization entity type.
The provider Other Name Is Angel Arms Llc.

The provider's business location address is:

1228 10TH AVE N
SAINT CLOUD, MN
ZIP 56303-707
Phone: (320) 230-0764

The provider's authorized official is Rebecca Ann Campaanella .
The authorized official title is Administrator and has the following contact phone number (218) 628-1684.

The enumeration date for this NPI number is 12/1/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness17044193MINNESOTAYes

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
110423701AFCOTHERMINNESOTAAFC PROVIDER

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

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