THEODORE I NPI 1831254408

NPI Information

NPI: 1831254408
Provider Name: THEODORE I

Former Legal Business Name: BOSTON HEALTH CARE SYSTEMS, INC.

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1314 LIVINGSTON AVE
SAINT PAUL, MN
ZIP 55118
Phone: (651) 501-2378
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THEODORE I is a community based residential treatment facility mental illness in Saint Paul, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THEODORE I NPI is 1831254408. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Boston Health Care Systems, Inc..

The provider's business location address is:

1314 LIVINGSTON AVE
SAINT PAUL, MN
ZIP 55118-409
Phone: (651) 501-2378
Fax: (651) 738-1737

The provider's authorized official is Michele K. Boston .
The authorized official title is Ceo and has the following contact phone number (651) 501-2378.

The enumeration date for this NPI number is 12/26/2006 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	320800000X	Community Based Residential Treatment Facility, Mental Illness		802493-1-RMI	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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