1201 GROUPHOME
NPI 1598062143
Intermediate Care Facility, Intellectual Disabilities in Mandan, ND

Active since February 17, 2011
1201 7TH AVE SE, MANDAN, ND 58554(701) 663-9719 Get Directions Write a Review

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

About 1201 Grouphome NPPES

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

1201 GROUPHOME (NPI 1598062143) 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

NPI1598062143
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business Name1201 GROUPHOME
Location Address1201 7TH AVE SEMandan, ND 58554
Mailing Address201 4th Ave NwMandan, ND 58554-3135
Organization SubpartYesParent: Hit Inc.
Authorized OfficialMike RemboldtCeo · (701) 663-0379
Enumeration DateFebruary 17, 2011
Last NPPES UpdateApril 17, 2024
NPPES CertifiedApril 17, 2024
NPI 1598062143 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.
1201 7TH AVE SE, Mandan, ND 58554

Other Identifiers 1

Medicaid30877ND

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 1201 Grouphome's NPI number?

The NPI number for 1201 Grouphome is 1598062143. It was assigned to this organization in the NPPES registry on February 17, 2011.

Where is 1201 Grouphome located?

1201 Grouphome is located at 1201 7th Ave SE, Mandan, ND 58554. The listed phone number is (701) 663-9719.

What is 1201 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 1201 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.