INTERLACHEN LODGE OPERATED BY INTERLODGE
NPI 1427258599
Community/Behavioral Health in Edina, MN

Active since July 18, 2007
5141 WILLIAM AVE, EDINA, MN 55436(952) 767-0360(952) 922-8892 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Interlachen Lodge Operated By Interlodge NPPES

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

INTERLACHEN LODGE OPERATED BY INTERLODGE (NPI 1427258599) is a healthcare organization registered as a community/behavioral health in Edina, Minnesota and active in the NPI registry since July 2007. The organization lists John Trepp, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1427258599
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameINTERLACHEN LODGE OPERATED BY INTERLODGE
Location Address5141 WILLIAM AVEEdina, MN 55436-2126
Mailing Address2419 Nicollet AveMinneapolis, MN 55404-3450 · (612) 871-3320 · Fax (612) 871-0432
Fax(952) 922-8892
Organization SubpartNo
Authorized OfficialJohn TreppExecutive Director · (612) 871-3320
Enumeration DateJuly 18, 2007
NPI 1427258599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in MN · 1044976
Definition
A 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.
5141 WILLIAM AVE, Edina, MN 55436

Other Identifiers 1

Other1044976MN · Dept. Of Human Services -

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 Interlachen Lodge Operated By Interlodge's NPI number?

The NPI number for Interlachen Lodge Operated By Interlodge is 1427258599. It was assigned to this organization in the NPPES registry on July 18, 2007.

Where is Interlachen Lodge Operated By Interlodge located?

Interlachen Lodge Operated By Interlodge is located at 5141 William Ave, Edina, MN 55436. The listed phone number is (952) 767-0360.

What is Interlachen Lodge Operated By Interlodge's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Interlachen Lodge Operated By Interlodge was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.