NPIMap

Organization Active NPI

Restore House Inc

  • Substance Abuse Rehabilitation Facility
  • Bemidji, MN
National Provider Identifier
1821432634
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1065889 Issued in MN
Legal business name
RESTORE HOUSE INC
Practice address
1001 Mississippi Ave NW
Bemidji, MN 56601-4534
Phone
(218) 444-9102
NPI assigned
Apr 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Mrs. Mary Elizabeth Greer
Title
Program Director
Phone
(218) 760-4209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1065889 MN Primary

Addresses

Primary practice location

1001 Mississippi Ave NW
Bemidji, MN 56601-4534

Mailing address

1001 Mississippi Ave NW
Bemidji, MN 56601-4534
Phone (218) 444-9102

National Provider Directory

National Provider Directory
Tax ID family
Restore House Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1821432634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MISSISSIPPI AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014534",
            "telephone_number": "218-444-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MISSISSIPPI AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014534",
            "telephone_number": "218-444-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "218-760-4209",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1065889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.