Dianes Group Home

LBN: 304
Dianes Group Home is an health care organization with primary practice located at 304 11Th St Ne , Mandan ND 58554-2140. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. 304 can be contacted via phone (701) 663-1635, or through Remboldt, Mike via phone (701) 663-0379.

Contact Information

Primary practice address
304 11Th St Ne Mandan ND 58554-2140
Phone: (701) 663-1635
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Remboldt, Mike
Phone: (701) 663-0379

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X North Dakota

Profile Details

NPI number 1235309063
LBN Legal business name 304
DBA Doing business as Dianes Group Home
Authorized official Remboldt, Mike
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 7th, 2008
Last updated Apr 17th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235309063 NPPES
North Dakota MEDICAID 003200006
North Dakota MEDICAID 1455894

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