OUR HOUSE OF MINNESOTA INC. NPI 1568563898

NPI Information

NPI: 1568563898
Provider Name: OUR HOUSE OF MINNESOTA, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1846 PORTLAND AVE
SAINT PAUL, MN
ZIP 55104
Phone: (651) 646-1104
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OUR HOUSE OF MINNESOTA, INC. is an intermediate care facility mentally retarded in Saint Paul, MN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. OUR HOUSE OF MINNESOTA, INC. NPI is 1568563898. The provider is registered as an organization entity type.

The provider's business location address is:

1846 PORTLAND AVE
SAINT PAUL, MN
ZIP 55104-062
Phone: (651) 646-1104
Fax: (651) 646-1104

The provider's authorized official is Dennis Holman .
The authorized official title is Administrator and has the following contact phone number (651) 646-1104.

The enumeration date for this NPI number is 9/26/2006 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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		801827-1-RS	MINNESOTA	Yes

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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