NPIMap

Organization Active NPI

Kelly Norton Programs

  • Mental Illness Community Based Residential Treatment Facility
  • Minneapolis, MN
National Provider Identifier
1154498871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
331212 Issued in MN
Legal business name
KELLY NORTON PROGRAMS
Practice address
3104 E 58TH St
Minneapolis, MN 55417-2800
Phone
(612) 726-1502
Fax
(612) 726-1009
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Hugh Aylward
Title
Treatment Director
Phone
(612) 726-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 331212 MN Primary

Addresses

Primary practice location

3104 E 58TH St
Minneapolis, MN 55417-2800

Mailing address

3104 E 58TH St
Minneapolis, MN 55417-2800
Phone (612) 726-1502

Other names 1

  • Bill Kelly House Other name

National Provider Directory

National Provider Directory
Tax ID family
Kelly Norton Programs3 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.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154498871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 E 58TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172800",
            "telephone_number": "612-726-1502",
            "fax_number": "612-726-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 E 58TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172800",
            "telephone_number": "612-726-1502",
            "fax_number": "612-726-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY NORTON PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYLWARD",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "612-726-1502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MN",
            "license": "331212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bill Kelly House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • 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.