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Development Homes, Inc.

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Grand Forks, ND

NPI 1104821784 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1104821784
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
NONE (ND)
Legal business name
DEVELOPMENT HOMES, INC.
Practice address
3880 S Columbia Rd
Grand Forks, ND 58201-3523
Phone
(701) 335-4000
Fax
(701) 335-4004
NPI assigned
Jun 20, 2005
Organization subpart
No

Authorized official

Name
Ms. Nancy R McDonald
Title
Ceo
Phone
(701) 335-4000

Corporate family (same tax ID) 10

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

National Provider Directory

Tax ID family
Development Homes Inc (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NONE ND Yes

Addresses

Primary practice location

3880 S Columbia Rd
Grand Forks, ND 58201-3523

Mailing address

3880 S Columbia Road
Grand Forks, ND 58201
Phone (701) 335-4000

Other identifiers

IdentifierTypeStateIssuer
30837MedicaidND
30815MedicaidND
30825MedicaidND

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104821784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 S COLUMBIA ROAD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-335-4000",
            "fax_number": "701-335-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013523",
            "telephone_number": "701-335-4000",
            "fax_number": "701-335-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENT HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-335-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "ND",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30837",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30815",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30825",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

All providers in Grand Forks, ND · Intellectual Disabilities Intermediate Care Facility in North Dakota

Sources for this page

Verify at the official NPI Registry.