TBI RESIDENTIAL AND COMMUNITY SERVICES, INC.
NPI 1518560580
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Duluth, MN

Active since November 20, 2020
2016 W SUPERIOR ST, DULUTH, MN 55806(218) 733-1331 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2023, Dec 21, 2022, Nov 20, 2020 (3 updates tracked since 2020).

About Tbi Residential And Community Services, Inc. NPPES

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

TBI RESIDENTIAL AND COMMUNITY SERVICES, INC. (NPI 1518560580) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Duluth, Minnesota and active in the NPI registry since November 2020. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1518560580
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameTBI RESIDENTIAL AND COMMUNITY SERVICES, INC.
Location Address2016 W SUPERIOR STDuluth, MN 55806-3524
Mailing Address6600 France Ave SEdina, MN 55435-1805 · (952) 922-6776 · Fax (952) 922-6885
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateNovember 20, 2020
Last NPPES UpdateMarch 4, 20233 updates tracked since enumeration
NPPES CertifiedMarch 4, 2023
NPI 1518560580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

2016 W SUPERIOR ST, Duluth, MN 55806

Other Identifiers 1

Medicaid1072277MN

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
2016 W SUPERIOR ST
DULUTH, MN 55806
Clinic/Center (Adult Mental Health)
2016 W SUPERIOR ST
DULUTH, MN 55806
Clinic/Center (Adult Day Care)
2016 W SUPERIOR ST
DULUTH, MN 55806
Clinic/Center (Adult Day Care)
2016 W SUPERIOR ST
DULUTH, MN 55806
Assisted Living Facility
2016 W SUPERIOR ST
DULUTH, MN 55806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518560580, enumerated as an "organization" on November 20, 2020.

The provider is located at 2016 W SUPERIOR ST DULUTH, MN 55806 and the phone number is (218) 733-1331.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.