NPIMap

Organization Active NPI

North Homes, Inc. - Chemical Dependency Program

  • Community/Behavioral Health Agency
  • Grand Rapids, MN
National Provider Identifier
1659445476
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1027589-1-CDT Issued in MN
Legal business name
NORTH HOMES, INC. - CHEMICAL DEPENDENCY PROGRAM
Practice address
1880 River Rd
Grand Rapids, MN 55744-4085
Phone
(218) 327-3000
Fax
(218) 327-1871
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Mr. Tim Adamich
Title
Director of Finance & Marketing
Phone
(218) 327-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1027589-1-CDT MN Primary

Addresses

Primary practice location

1880 River Rd
Grand Rapids, MN 55744-4085

Mailing address

1880 River Rd
Grand Rapids, MN 55744-4085
Phone (218) 327-3000

Other identifiers 3

IdentifierTypeStateIssuer
5046635OtherMNMEDICA-UBH PROVIDER ID
7Z11NOOtherMNBCBS OF MN
895519100MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
North Homes Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1659445476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 RIVER RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444085",
            "telephone_number": "218-327-3000",
            "fax_number": "218-327-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 RIVER RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444085",
            "telephone_number": "218-327-3000",
            "fax_number": "218-327-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HOMES, INC. - CHEMICAL DEPENDENCY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "ADAMICH",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & MARKETING",
        "authorized_official_telephone_number": "218-327-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1027589-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA-UBH PROVIDER ID",
            "identifier": "5046635",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "7Z11NO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "895519100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.