Arrowhead House Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

8001211RMI Issued in MN

Legal business name

ARROWHEAD HOUSE INC

Practice address

16 South 18TH Avenue East
Duluth, MN 55812

Phone

(218) 724-8844

Fax

(218) 728-9382

NPI assigned

Mar 25, 2008

Last updated

Mar 25, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Bernard Kolar

Title

Vice President

Phone

(218) 728-9295

Specialties & licenses 1

Addresses

Tax ID family

Arrowhead House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Arrowhead House

  • Psychiatric Residential Treatment Facility
  • Duluth, MN
  • NPI 1619233459
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheri Lynn Simmons, MSW, LICSW

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1346973435
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1003088543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SOUTH 18TH AVENUE EAST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55812",
            "telephone_number": "218-724-8844",
            "fax_number": "218-728-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SOUTH 18TH AVENUE EAST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55812",
            "telephone_number": "218-724-8844",
            "fax_number": "218-728-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "KOLAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "218-728-9295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MN",
            "license": "8001211RMI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie K Arndt, ATC
• Samantha A Arneson, MSW, LICSW
• Alyssa Dawn Arnold, OTR/L
• Prabhjot Arora, DDS
• Arrowhead House
• Arrowhead Juvenile
• Arrowhead Orthodontics PC
• Arrowhead Personal Care LLC
• Arrowhead Psychological Clinic, P.a.
• Ramin Artang, MD

• Mental Illness Community Based Residential Treatment Facility in Duluth, MN
• Providers in Duluth, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.