HOMEWARD BOUND, INC. (NPI# 1962589705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962589705 |
| Entity Type | Organization |
| Organization Name | HOMEWARD BOUND, INC. |
| Practice Address |
7839 Brooklyn Blvd Brooklyn Park MN 55445-2716 |
| Mailing Address |
13895 Industrial Park Blvd #100 Plymouth MN 55441-3700 |
| Practice Telephone | 7635667860 |
| Practice Fax Number | 7635661819 |
| Mailing Telephone | 7635253186 |
| Mailing Fax Number | 7635254084 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | MR. DONALD R PRIEBE (CEO) |
| Authorized Official Telephone | 7635253186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802812 | MN | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619285434 | Homeward Bound, Inc. | Substance Abuse Rehabilitation Facility | 8716 Independence Dr, El Paso, TX 79907-6236 | 2010-09-14 |
| 1124124375 | Homeward Bound, Inc. | Substance Abuse Rehabilitation Facility | 233 West 10th Street, Dallas, TX 75208 | 2006-09-15 |
| 1124336946 | Homeward Bound, Inc. | Clinic/Center | 6000 Welch Ave, Suite 28, El Paso, TX 79905-1898 | 2010-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | HOMEWARD BOUND, INC. | 1846 Purchase St., New Bedford, MA 02740 |
| Colorado Business Entities | Homeward Bound, Inc. | 3495 N. 109th Street, Lafayette, CO 80026 |
| Street Address |
7839 BROOKLYN BLVD |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55445-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
| 1881173276 | Altenin C Nguyen | Registered Nurse | 8706 Oregon Ave N, Brooklyn Park, MN 55445 | 2018-08-07 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1578001178 | Peaceful Living Professionals, LLC | Community/Behavioral Health | 6901 78th Ave No, Suite 102, Brooklyn Park, MN 55445 | 2017-02-03 |
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1174876171 | Rebecca Parkin | Occupational Therapist | 6732 83rd Place North, Brooklyn Park, MN 55445 | 2012-10-16 |
| 1942525928 | Timothy Anton Kelly | Home Health | 7954 Brooklyn Boulavard, 7954, Brooklyn Park, MN 55445 | 2010-04-01 |
| 1326270778 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 7996 Brooklyn Blvd., Brooklyn Park, MN 55445 | 2009-08-19 |
| 1194947101 | Ambereen F Suhrwardy | Dentist | 6612 98th Ln N, Brooklyn Park, MN 55445 | 2007-05-02 |
| Find all providers in zip 55445 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952549925 | Coleman Investment | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4001 Willow Rd N, Brooklyn Park, MN 55443-1239 | 2009-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478849 | Jobs Wholeness House of Prosperity | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Garner Cir, Montrose, MN 55363-8598 | 2019-10-15 |
| 1639710593 | Alicia Marie Olson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25844 10th St W, Zimmerman, MN 55398-8796 | 2019-10-02 |
| 1841764768 | Stepping Out Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 603 3rd St W, Hastings, MN 55033-1127 | 2019-01-14 |
| 1841652898 | Faiza Hassan | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10917 Humboldt Ave S, Bloomington, MN 55431-4221 | 2016-03-28 |
| 1801293444 | Shelly Olson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5448 W Island Lake Rd, Duluth, MN 55803-8405 | 2014-11-25 |
| 1306190509 | Ronald Allen Synstelien | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 607 E Fir Ave, Fergus Falls, MN 56537-1503 | 2012-11-09 |
| 1023360559 | North Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 324 W Superior St Ste 400, Medical Arts Building, Duluth, MN 55802-1726 | 2012-10-08 |
| 1073742383 | Lutheran Social Service of Minnesota | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 198 Penny Lane, Leroy, MN 55951 | 2009-07-08 |
| 1942467683 | Total Living Commitment, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 Woodduck Cir, Delano, MN 55328-9779 | 2008-05-20 |
| 1922285576 | Lakes Homes and Program Development, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1118 West Ave, Detroit Lakes, MN 56501-3210 | 2008-01-25 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55445 |
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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.