NPIMap

Organization Active NPI

Restore House

  • Substance Abuse Rehabilitation Facility
  • Bemidji, MN
National Provider Identifier
1144721192
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1089959. Issued in MN
Legal business name
RESTORE HOUSE
Practice address
3007 Birchmont Dr NE
Bemidji, MN 56601-4324
Phone
(218) 444-9420
Fax
(218) 444-9212
NPI assigned
Feb 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Authorized official

Name
Mrs. Mary E Greer
Title
Treatment Director
Phone
(218) 760-4209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1089959. MN Primary

Addresses

Primary practice location

3007 Birchmont Dr NE
Bemidji, MN 56601-4324

Mailing address

PO Box 1191
Bemidji, MN 56619-1191
Phone (218) 444-9420

National Provider Directory

National Provider Directory
Tax ID family
Restore House Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1144721192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1191",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566191191",
            "telephone_number": "218-444-9420",
            "fax_number": "218-444-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 BIRCHMONT DR NE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014324",
            "telephone_number": "218-444-9420",
            "fax_number": "218-444-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "218-760-4209",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1089959.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.