New Horizon Customized Living
LBN: Bethany Board And Lodge, Inc
New Horizon Customized Living is an health care organization with primary practice located at 903 Hilligoss Blvd Se Suite B , Fosston MN 56542. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing & Custodial Care Facilities / Assisted Living Facility. Agencies / Home Health is the primary health care specialty.
Bethany Board And Lodge, Inc can be contacted via phone (218) 435-1044, or through Mcglynn, Tyler via phone (218) 280-1609.
Contact Information
Primary practice address
903 Hilligoss Blvd Se Suite B
Fosston MN 56542
Phone: (218) 435-1044
Fax: (218) 435-1143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X |
Profile Details
| NPI number | 1942756556 |
|---|---|
| LBN Legal business name | Bethany Board And Lodge, Inc |
| DBA Doing business as | New Horizon Customized Living |
| Authorized official | Mcglynn, Tyler |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Feb 11th, 2019 - about 5 years 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 | 1942756556 | NPPES |
| Minnesota | MEDICAID | A926615400 | |
| Minnesota | MEDICAID | A496997400 |
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