Kandiyohi County Group Homes

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

KANDIYOHI COUNTY GROUP HOMES

Practice address

822 Park Ave NW
Willmar, MN 56201-2568

Phone

(320) 235-6637

Fax

(320) 235-6659

NPI assigned

Jun 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sue Harding

Title

Executive Director

Phone

(320) 235-6637

Specialties & licenses 1

Addresses

Tax ID family

Kandiyohi County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kandiyohi County

  • Public Health or Welfare Agency
  • Willmar, MN
  • NPI 1003045238
  NPD tax ID

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578765269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PARK AVE NW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012568",
            "telephone_number": "320-235-6637",
            "fax_number": "320-235-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PARK AVE NW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012568",
            "telephone_number": "320-235-6637",
            "fax_number": "320-235-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDIYOHI COUNTY GROUP HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "320-235-6637",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayde Kalkbrenner
• Hailey Kallevig
• Kandi Dental Center, PA
• Kandiyohi County
• Kandiyohi County Area Family Young Men's Christian Association
• Rutvij Kantharia
• Kristine Dawn Kautzman
• Jarred Kells, LADC, BS
• Jeffrey Robert Kennedy, PT
• Krystal Grace Kennedy, PT, DPT

• Emotionally Disturbed Childrens' Residential Treatment Facility in Willmar, MN
• Providers in Willmar, MN by specialty
• Emotionally Disturbed Childrens' 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.