NPIMap

Organization Active NPI

Red River Human Services Foundation

  • Intellectual Disabilities Intermediate Care Facility
  • Wahpeton, ND
National Provider Identifier
1972626216
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
30865 Issued in ND
Legal business name
RED RIVER HUMAN SERVICES FOUNDATION
Practice address
821 Western Rd
Wahpeton, ND 58075
Phone
(701) 235-0971
Fax
(701) 235-1051
NPI assigned
Apr 10, 2007
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Thomas R. Newberger
Title
Ceo
Phone
(701) 532-3401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 30865 ND Primary

Addresses

Primary practice location

821 Western Rd
Wahpeton, ND 58075

Mailing address

2506 35TH Ave S
Fargo, ND 58104-8897
Phone (701) 235-0971

Other identifiers 1

IdentifierTypeStateIssuer
003200006MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972626216. Details of each certification follow.

  • CCN 35G070 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 35G070

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Red River Human Services-821
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 1, 1987
Last certification
Jun 18, 2025
Beds
8
Ownership / control type
Private (non-profit)
Facility address
821 Western Rd
Wahpeton, ND 58075

National Provider Directory

National Provider Directory
Tax ID family
Red River Human Services Foundation15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

2506 35th Ave S
Fargo, ND 58104
Phone (701) 293-1133

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1972626216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 35TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048897",
            "telephone_number": "701-235-0971",
            "fax_number": "701-235-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 WESTERN RD",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "58075",
            "telephone_number": "701-235-0971",
            "fax_number": "701-235-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER HUMAN SERVICES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "NEWBERGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-532-3401"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "ND",
            "license": "30865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003200006",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahpeton, ND

Sources for this page

Verify at the official NPI Registry.