NPIMap

Organization Active NPI

The Hills Youth and Family Services

Doing business as Cambia Hills

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Duluth, MN
National Provider Identifier
1407949167
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
1036983-1-CRF Issued in MN
Legal business name
THE HILLS YOUTH AND FAMILY SERVICES
Doing business as
Cambia Hills
Woodland Hills
Practice address
4321 Allendale Avenue
Duluth, MN 55803
Phone
(218) 728-7500
Fax
(218) 728-7408
NPI assigned
Oct 2, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Melissa Herold
Title
Controller
Phone
(218) 623-6425

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 040978200 MN
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 1036983-1-CRF MN Primary

Addresses

Primary practice location

4321 Allendale Avenue
Duluth, MN 55803

Mailing address

4321 Allendale Avenue
Duluth, MN 55803-1562
Phone (218) 728-7500

Other identifiers 5

IdentifierTypeStateIssuer
262L1WOOtherMNBCBS OF MN
136305OtherMNUCARE MINNESOTA
8467273OtherMNUBH/MEDICA SELECT CARE
040978200MedicaidMN
1042152OtherMNPREFERREDONE

Other names 3

  • Cambia Hills Doing business as
  • Woodland Hills Doing business as
  • St. James Home of Duluth Former legal business name

National Provider Directory

National Provider Directory

Locations

4321 Allendale Ave
Duluth, MN 55803
Phone (218) 728-7500

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1407949167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 ALLENDALE AVENUE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558031562",
            "telephone_number": "218-728-7500",
            "fax_number": "218-728-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 ALLENDALE AVENUE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55803",
            "telephone_number": "218-728-7500",
            "fax_number": "218-728-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HILLS YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HEROLD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "218-623-6425"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "040978200",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MN",
            "license": "1036983-1-CRF",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "262L1WO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "136305",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH/MEDICA SELECT CARE",
            "identifier": "8467273",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040978200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1042152",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambia Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodland Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. James Home of Duluth",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.