OUTREACH SIX ACRES INC NPI 1750441713

NPI Information

NPI: 1750441713
Provider Name: OUTREACH SIX ACRES INC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1555 118TH LN NW
MINNEAPOLIS, MN
ZIP 55448
Phone: (763) 754-2505
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OUTREACH SIX ACRES INC is an intermediate care facility mentally retarded in Minneapolis, MN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. OUTREACH SIX ACRES INC NPI is 1750441713. The provider is registered as an organization entity type.

The provider's business location address is:

1555 118TH LN NW
MINNEAPOLIS, MN
ZIP 55448-579
Phone: (763) 754-2505
Fax: (763) 754-0332

The provider's authorized official is Connie Winbauer .
The authorized official title is Controller and has the following contact phone number (763) 862-5436.

The enumeration date for this NPI number is 12/11/2006 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	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities	801850	MINNESOTA	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities	801851	MINNESOTA	No
3	315P00000X	Intermediate Care Facility, Intellectual Disabilities	801852	MINNESOTA	No
4	315P00000X	Intermediate Care Facility, Intellectual Disabilities	801853	MINNESOTA	No
5	315P00000X	Intermediate Care Facility, Intellectual Disabilities	1001534	MINNESOTA	No
6	315P00000X	Intermediate Care Facility, Intellectual Disabilities	803912	MINNESOTA	No
7	315P00000X	Intermediate Care Facility, Intellectual Disabilities	801854	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

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