1303 Group Home
LBN: 1303 Group Home
1303 Group Home is an health care organization with primary practice located at 1303 7Th Ave Se , Mandan ND 58554-4506. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty.
1303 Group Home can be contacted via phone (701) 663-0379, or through Remboldt, Mike via phone (701) 663-0379.
Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X |
Profile Details
NPI number | 1225386774 |
---|---|
LBN Legal business name | 1303 Group Home |
DBA Doing business as | |
Authorized official | Remboldt, Mike |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Aug 15th, 2012 |
Last updated | Apr 17th, 2024 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225386774 | NPPES |
North Dakota | MEDICAID | 1456205 | |
North Dakota | MEDICAID | 30879 |
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