RED RIVER HUMAN SERVICES FOUNDATION NPI 1003416587

Community/Behavioral Health in West Fargo, ND

NPI 1003416587 Organization Community/Behavioral Health

About RED RIVER HUMAN SERVICES FOUNDATION

Red River Human Services Foundation is a provider established in West Fargo, North Dakota specializing in community/behavioral health. The NPI number of Red River Human Services Foundation is 1003416587 and was assigned on October 2020. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Rita Sackett Cpa (Financial Director)

NPI

1003416587

Provider NameRED RIVER HUMAN SERVICES FOUNDATION
Provider Location Address1689 6TH ST W WEST FARGO, ND 58078
Provider Mailing Address2506 35TH AVE S STE A FARGO, ND 58104
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-26-2020
Last Update Date10-26-2020


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

RED RIVER HUMAN SERVICES FOUNDATION
1689 6TH ST W
WEST FARGO, ND
ZIP 58078
Phone: (701) 532-3417

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Mailing Address

RED RIVER HUMAN SERVICES FOUNDATION
2506 35TH AVE S STE A
FARGO, ND
ZIP 58104
Phone: (701) 532-3402
Fax: (701) 235-1051



Authorized Official

Authorized Official Name RITA SACKETT CPA
Authorized Official TitleFINANCIAL DIRECTOR
Authorized Official Phone(701) 532-3402

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1455769MEDICAID (05)ND

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.