NPIMap

Organization Active NPI

Restore House Inc

  • Substance Abuse Rehabilitation Facility
  • Bemidji, MN
National Provider Identifier
1932408697
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1059563 Issued in MN
Legal business name
RESTORE HOUSE INC
Practice address
51756 229TH Ave
Bemidji, MN 56601-9376
Phone
(218) 444-9420
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 Manager
Phone
(218) 760-4209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1059563 MN Primary

Addresses

Primary practice location

51756 229TH Ave
Bemidji, MN 56601-9376

Mailing address

51756 229TH Ave
Bemidji, MN 56601-9376
Phone (218) 444-9420

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.

Locations

51756 229th Ave
Bemidji, MN 56601
Phone (218) 444-9420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1932408697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51756 229TH AVE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566019376",
            "telephone_number": "218-444-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51756 229TH AVE",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566019376",
            "telephone_number": "218-444-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "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": "1059563",
            "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 Mar 25, 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.