1203 GROUPHOME
NPI 1407153059
Intermediate Care Facility, Intellectual Disabilities in Mandan, ND

Q: What is 1203 Grouphome's NPI number?

The NPI number for 1203 Grouphome is 1407153059. It was assigned to this organization in the NPPES registry on February 17, 2011.

Q: What is 1203 Grouphome's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for 1203 Grouphome was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 17, 2011

1203 7TH AVE SE, MANDAN, ND 58554(701) 667-6168 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2024, Jun 28, 2018 (2 updates tracked since 2018).

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About 1203 Grouphome NPPES

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

1203 GROUPHOME (NPI 1407153059) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Mandan, North Dakota and active in the NPI registry since February 2011. The organization lists Mike Remboldt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407153059

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business Name1203 GROUPHOME

Location Address1203 7TH AVE SEMandan, ND 58554

Mailing Address201 4th Ave NwMandan, ND 58554-3135

Phone(701) 667-6168

Organization SubpartYesParent: Hit Inc.

Authorized OfficialMike RemboldtCeo · (701) 633-0379

Enumeration DateFebruary 17, 2011

Last NPPES UpdateApril 17, 20242 updates tracked since enumeration

NPPES CertifiedApril 17, 2024

✔ NPI 1407153059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1203 7TH AVE SE, Mandan, ND 58554

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Other Identifiers 1

Medicaid30878ND

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 1203 Grouphome's NPI number?

The NPI number for 1203 Grouphome is 1407153059. It was assigned to this organization in the NPPES registry on February 17, 2011.

Where is 1203 Grouphome located?

1203 Grouphome is located at 1203 7th Ave SE, Mandan, ND 58554. The listed phone number is (701) 667-6168.

What is 1203 Grouphome's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for 1203 Grouphome was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.