National Provider Identifier Database

BESTWOOD AGENCY LLC
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Contact Information

BESTWOOD AGENCY LLC
1506 33RD AVE N
SAINT CLOUD, MN  56303-1525
Phone: 612-845-1096
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X
Assisted Living, Behavioral Disturbances 3104A0630X
Assisted Living, Mental Illness 3104A0625X
Clinic/Center 261Q00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Foster Care Agency 253J00000X
Intermediate Care Facility, Mentally Retarded 315P00000X
Professional 101YP2500X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for BESTWOOD AGENCY LLC

NPI Number 1689371205
Legal business name
LBN		 BESTWOOD AGENCY LLC
Authorized official NOOR YUSSUF - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/14/2023
Last updated 07/06/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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.

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