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AUTUMN HILLS OF BEMIDJI INC. NPI 1619199916


NPI Information

NPI: 1619199916
Provider Name: AUTUMN HILLS OF BEMIDJI, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2528 PARK AVE NW
BEMIDJI, MN
ZIP 56601
Phone: (218) 333-3854
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AUTUMN HILLS OF BEMIDJI, INC. is an assisted living facility in Bemidji, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. AUTUMN HILLS OF BEMIDJI, INC. NPI is 1619199916. The provider is registered as an organization entity type.

The provider's business location address is:

2528 PARK AVE NW
BEMIDJI, MN
ZIP 56601
Phone: (218) 333-3854
Fax: (218) 333-3855

The provider's authorized official is Shelley Jean Cloose .
The authorized official title is President and has the following contact phone number (218) 333-3854.

The enumeration date for this NPI number is 5/3/2007 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
1310400000XAssisted Living Facility332829MINNESOTAYes

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: 5/5/2024

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