National Provider Identifier Database

OUR HOUSE OF MINNESOTA INC I
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

OUR HOUSE OF MINNESOTA, INC. I
1846 DAYTON AVE
SAINT PAUL, MN55104-6012
Phone: 651-644-6650
Fax: 651-644-6650
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for OUR HOUSE OF MINNESOTA, INC. I

NPI Number 1750467577
Legal business name
LBN
OUR HOUSE OF MINNESOTA, INC. I
Authorized official DENNIS HOLMAN - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 10/27/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 801828-1-RS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for OUR HOUSE OF MINNESOTA, INC. I

There are currently no reviews for OUR HOUSE OF MINNESOTA, INC. I


NPIdb - Home
v2.201