VALLEY-LAKE BOY'S HOME, INC.
NPI 1760666903
Residential Treatment Facility, Emotionally Disturbed Children in Breckenridge, MN

Q: What is Valley-Lake Boy's Home, Inc.'s NPI number?

The NPI number for Valley-Lake Boy's Home, Inc. is 1760666903. It was assigned to this organization in the NPPES registry on December 24, 2007.

Q: What is Valley-Lake Boy's Home, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since December 24, 2007

3850 200TH AVE, BRECKENRIDGE, MN 56520(218) 643-4036(218) 643-5226 Get Directions Write a Review

NPPES record last updated: December 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Valley-lake Boy's Home, Inc. NPPES

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

VALLEY-LAKE BOY'S HOME, INC. (NPI 1760666903) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Breckenridge, Minnesota and active in the NPI registry since December 2007. The organization lists Mark Allen Engebretson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760666903

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameVALLEY-LAKE BOY'S HOME, INC.

Location Address3850 200TH AVEBreckenridge, MN 56520-0411

Mailing Address3850 200th AveBreckenridge, MN 56520-0411 · (218) 643-4036 · Fax (218) 643-5226

Phone(218) 643-4036

Fax(218) 643-5226

Organization SubpartNo

Authorized OfficialMark Allen EngebretsonExecutive Director · (218) 643-4036

Enumeration DateDecember 24, 2007

✔ NPI 1760666903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in MN · 1036970-1-CRF

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

3850 200TH AVE, Breckenridge, MN 56520

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Other Providers at the Same Location NPPES

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

COMMUNITY ADDICTION RECOVERY ENTERPRISES

Clinic/Center (Rehabilitation, Substance Use Disorder)

3850 200TH AVE
BRECKENRIDGE, MN 56520

Wilkin County (651) 431-3676

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 Valley-Lake Boy's Home, Inc.'s NPI number?

The NPI number for Valley-Lake Boy's Home, Inc. is 1760666903. It was assigned to this organization in the NPPES registry on December 24, 2007.

Where is Valley-Lake Boy's Home, Inc. located?

Valley-Lake Boy's Home, Inc. is located at 3850 200th Ave, Breckenridge, MN 56520. The listed phone number is (218) 643-4036.

What is Valley-Lake Boy's Home, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Valley-Lake Boy's Home, Inc. was last updated on December 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.