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Contact Information

NORTHEAST HOUSE INC
1918 19TH AVE NE
MINNEAPOLIS, MN55418-4728
 Phone: 612-789-8841
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for NORTHEAST HOUSE INC

NPI # 1962692905
LBN Legal business name NORTHEAST HOUSE INC
Authorized official WILLIAM EVERETT - (ADMIN ASSIST/PROGRAM DIR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2007
Last updated 07/26/2007 - About 19 years ago
Identifiers
MN License # 801746-3RS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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