RED RIVER HUMAN SERVICES FOUNDATION (NPI# 1861810053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861810053 |
| Entity Type | Organization |
| Organization Name | RED RIVER HUMAN SERVICES FOUNDATION |
| Practice Address |
903 Mulberry Ln West Fargo ND 58078-5000 |
| Mailing Address |
2506 35th Ave S Suite A Fargo ND 58104-8897 |
| Practice Telephone | 7015323451 |
| Practice Fax Number | 7012351051 |
| Mailing Telephone | 7012350971 |
| Mailing Fax Number | 7012351051 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Authorized Official Name | THOMAS NEWBERGER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7012350971 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1881717122 | 05 | |
| ND | 1972626216 | 05 | |
| ND | 1700908589 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608330 | Red River Human Services Foundation | Community/Behavioral Health | 608 4th St S, Wahpeton, ND 58075-4741 | 2020-10-27 |
| 1942800263 | Red River Human Services Foundation | Community/Behavioral Health | 808 6th St S, Wahpeton, ND 58075-4801 | 2020-10-27 |
| 1134729478 | Red River Human Services Foundation | Community/Behavioral Health | 812 6th St S, Wahpeton, ND 58075-4870 | 2020-10-27 |
| 1740880228 | Red River Human Services Foundation | Community/Behavioral Health | 109 4th Ave S, Wahpeton, ND 58075-4764 | 2020-10-26 |
| 1003416587 | Red River Human Services Foundation | Community/Behavioral Health | 1689 6th St W, West Fargo, ND 58078-4624 | 2020-10-26 |
| 1548860026 | Red River Human Services Foundation | Community/Behavioral Health | 1693 6th St W, West Fargo, ND 58078-4624 | 2020-10-26 |
| 1174123665 | Red River Human Services Foundation | Community/Behavioral Health | 1697 6th St W, West Fargo, ND 58078-4624 | 2020-10-26 |
| 1437759933 | Red River Human Services Foundation | Community/Behavioral Health | 207 4th Ave S, Wahpeton, ND 58075-4601 | 2020-10-26 |
| 1740889401 | Red River Human Services Foundation | Community/Behavioral Health | 1685 6th St W, West Fargo, ND 58078-4624 | 2020-10-22 |
| 1881717122 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 1348 15th Av N, Wahpeton, ND 58075 | 2007-04-10 |
| Street Address |
903 MULBERRY LN |
| City | WEST FARGO |
| State | ND |
| Zip Code | 58078-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205068 | Ashley Kasson Therapy | Counselor | 3220 4th St E, West Fargo, ND 58078 | 2020-11-04 |
| 1427658624 | Deedee (dorin) Ngwe | Technician | 3240 9th S West Apt. 204, West Fargo, ND 58078 | 2020-10-27 |
| 1053879734 | Mpnd,inc | Pharmacy | 2050 Sheyenne Street, West Fargo, ND 58078 | 2019-03-12 |
| 1396239216 | Luke Gable | Behavior Technician | 647 13th Avenue South, West Fargo, ND 58078 | 2018-06-15 |
| 1629597919 | Cody Freng | Specialist/Technologist | 3276 9th St W Apt C, West Fargo, ND 58078 | 2017-09-18 |
| 1831613942 | Lauren Phyllis Loe | Physical Therapist | 1401 13th Avenue East, Essentia Health West Fargo Clinic, West Fargo, ND 58078 | 2017-07-31 |
| 1851746226 | Jodi Kilen | Occupational Therapy Assistant | 631 4th Ave East, West Fargo, ND 58078 | 2016-05-04 |
| 1922490101 | Betty Ann Helmer | Social Worker | 2355 Meadow Ridge Parkway, West Fargo, ND 58078 | 2015-02-25 |
| 1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
| 1023432010 | Kaylyn Kortes | Licensed Practical Nurse | 1302 Sheyenne St, West Fargo, ND 58078 | 2014-02-11 |
| Find all providers in zip 58078 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302420 | Lake Region Corporation | Intermediate Care Facility, Mentally Retarded | 2017 Highway 20, Devils Lake, ND 58301-8650 | 2020-06-29 |
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1548782790 | 1150 Group Home | Intermediate Care Facility, Mentally Retarded | 1150 N. Collins Aveue, Mandan, ND 58554 | 2017-07-10 |
| 1437690609 | 1140 Grouphome | Intermediate Care Facility, Mentally Retarded | 1140 Collins Ave, Mandan, ND 58554 | 2017-03-20 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1578835641 | Hit Inc. 1301 Grouphome | Intermediate Care Facility, Mentally Retarded | 1301 7th Ave Se, Mandan, ND 58554 | 2012-02-03 |
| 1598062143 | 1201 Grouphome | Intermediate Care Facility, Mentally Retarded | 1201 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| 1407153059 | 1203 Grouphome | Intermediate Care Facility, Mentally Retarded | 1203 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| 1417124462 | Villa Nazareth | Intermediate Care Facility, Mentally Retarded | 2424 18th St S, Fargo, ND 58103-5110 | 2008-05-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST FARGO |
| Zip Code | 58078 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.