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BILL KELLY HOUSE
NPI 1154498871
Community Based Residential Treatment Facility, Mental Illness in Minneapolis, MN

Active since November 29, 2006CLIA 24D2334607 · Waiver
3104 E 58TH ST, MINNEAPOLIS, MN 55417(612) 726-1502(612) 726-1009 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bill Kelly House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BILL KELLY HOUSE (NPI 1154498871) is a healthcare organization registered as a community based residential treatment facility, mental illness in Minneapolis, Minnesota and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Hugh Aylward, Treatment Director, as its authorized official.

NPPES Registry Identity

NPI1154498871
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameKELLY NORTON PROGRAMS
Location Address3104 E 58TH STMinneapolis, MN 55417-2800
Mailing Address3104 E 58th StMinneapolis, MN 55417-2800 · (612) 726-1502 · Fax (612) 726-1009
Phone(612) 726-1502
Fax(612) 726-1009
Organization SubpartNo
Authorized OfficialHugh AylwardTreatment Director · (612) 726-1502
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154498871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in MN · 331212
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3104 E 58TH ST, Minneapolis, MN 55417
Open in Google Maps ↗

Other Names 1

Other NameBill Kelly House

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2334607

Bill Kelly House · Minneapolis, MN
Active · expires Nov 24, 2027
CLIA Number24D2334607
Laboratory TypeResidential Mental Health
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorHugh W. Aylward
Laboratory Phone(612) 726-1502
Laboratory LocationBill Kelly House3104 East 58th St, Minneapolis, MN 55419
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Norton Programs's NPI number?

The NPI number for Kelly Norton Programs is 1154498871. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is also known as Bill Kelly House.

Where is Kelly Norton Programs located?

Kelly Norton Programs is located at 3104 E 58th St, Minneapolis, MN 55417. The listed phone number is (612) 726-1502.

What is Kelly Norton Programs's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Kelly Norton Programs hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2334607) is associated with this NPI, valid through November 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kelly Norton Programs was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.