NORTHWOODS INTERFAITH VOLUNTEER CAREGIVERS PROGRAM NPI 1528450350

NPI Information

  • NPI: 1528450350
  • Provider Name: NORTHWOODS INTERFAITH VOLUNTEER CAREGIVERS PROGRAM
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • CLIA Number: 24D2125396
  • Address: 616 AMERICA AVE NW STE 110
    BEMIDJI, MN
    ZIP 56601
  • Phone: (218) 333-8264

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NPI Details

NORTHWOODS INTERFAITH VOLUNTEER CAREGIVERS PROGRAM is a home health in Bemidji, MN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. NORTHWOODS INTERFAITH VOLUNTEER CAREGIVERS PROGRAM NPI is 1528450350. The provider is registered as an organization entity type.

The provider's business location address is:

616 AMERICA AVE NW STE 110
BEMIDJI, MN
ZIP 56601-853
Phone: (218) 333-8264
Fax: (218) 333-8263

The provider's authorized official is Cindi Lee Jernigan .
The authorized official title is Executive Director and has the following contact phone number (218) 333-8264.

The CLIA number assigned to this NPI record is 24D2125396 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2015 and was last updated on 10/24/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health383337MINNESOTAYes
2385H00000XRespite Care1067364-1-HCBSMINNESOTANo

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
11528450350MEDICAIDMINNESOTA
2A246082300MEDICAIDMINNESOTA

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: 11/21/2025

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