National Provider Identifier Database

PROVIDENCE HOUSE MINOT LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

PROVIDENCE HOUSE MINOT LLC
415 MAIN ST S
MINOT, ND58701-4414
Phone: 701-838-3300
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Rehabilitation, Substance Use Disorder Unit 276400000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HOUSE MINOT LLC

NPI Number 1699548214
Legal business name
LBN
PROVIDENCE HOUSE MINOT LLC
Authorized official MORGAN LAYNE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/06/2023
Last updated 07/26/2024 - 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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