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
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1235309063 | NPPES |
| North Dakota | MEDICAID | 003200006 | |
| North Dakota | MEDICAID | 1455894 |
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