1140 GROUPHOME
NPI 1437690609
Intermediate Care Facility, Intellectual Disabilities in Mandan, ND

Q: What is 1140 Grouphome's NPI number?

The NPI number for 1140 Grouphome is 1437690609. It was assigned to this organization in the NPPES registry on March 20, 2017.

Q: What is 1140 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 1140 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 March 20, 2017

1140 COLLINS AVE, MANDAN, ND 58554(701) 663-0379 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 17, 2024, Mar 20, 2017 (2 updates tracked since 2017).

On this page

About 1140 Grouphome NPPES

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

1140 GROUPHOME (NPI 1437690609) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Mandan, North Dakota and active in the NPI registry since March 2017. The organization lists Mike Remboldt, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437690609

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business Name1140 GROUPHOME

Location Address1140 COLLINS AVEMandan, ND 58554

Mailing Address201 4th Ave NwMandan, ND 58554-3135 · (701) 663-0379

Phone(701) 663-0379

Organization SubpartYesParent: Hit Inc

Authorized OfficialMike RemboldtCeo · (701) 667-8612

Enumeration DateMarch 20, 2017

Last NPPES UpdateApril 17, 20242 updates tracked since enumeration

NPPES CertifiedApril 17, 2024

✔ NPI 1437690609 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.

1140 COLLINS AVE, Mandan, ND 58554

Open in Google Maps ↗

Other Identifiers 1

Medicaid145600ND

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 1140 Grouphome's NPI number?

The NPI number for 1140 Grouphome is 1437690609. It was assigned to this organization in the NPPES registry on March 20, 2017.

Where is 1140 Grouphome located?

1140 Grouphome is located at 1140 Collins Ave, Mandan, ND 58554. The listed phone number is (701) 663-0379.

What is 1140 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 1140 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.