Rich'S Eot Homes Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1021007 Issued in MN

Legal business name

RICH'S EOT HOMES INC.

Practice address

445 3Rd Ave NE
Perham, MN 56573-1510

Phone

(218) 346-3960

Fax

(218) 346-7922

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence George Kempenich

Title

Program Director

Phone

(218) 346-3960

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154419422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 3RD AVE NE",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731510",
            "telephone_number": "218-346-3960",
            "fax_number": "218-346-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 3RD AVE NE",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565731510",
            "telephone_number": "218-346-3960",
            "fax_number": "218-346-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICH'S EOT HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEMPENICH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "218-346-3960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "1021007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN FOSTER CARE 245-B",
            "identifier": "1021007",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Perham, MN
• Providers in Perham, MN by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.