NORTHWOOD CHILDREN'S SERVICES DA CENTER – NPI #1295891083
Residential Treatment Facility, Emotionally Disturbed Children

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.

NORTHWOOD CHILDREN'S SERVICES DA CENTER is a residential treatment facility located in DULUTH, MN. NPPES has assigned the NPI number 1295891083 to NORTHWOOD CHILDREN'S SERVICES DA CENTER on December 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHWOOD CHILDREN'S SERVICES DA CENTER” is a dba name, the actual legal business name for this organization is NORTHWOOD CHILDREN'S HOME SOCIETY INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 5 years ago on May 12, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHWOOD CHILDREN'S SERVICES DA CENTER below.

NPI Profile for
NORTHWOOD CHILDREN'S HOME SOCIETY INC

NPI Number
1295891083
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWOOD CHILDREN'S HOME SOCIETY INC
Doing Business As (dba): NORTHWOOD CHILDREN'S SERVICES DA CENTER
Primary location
510 W QUINCE ST
DULUTH, MN 55811
Phone: (218) 625-0189 Fax:
Mailing address
4000 W 9TH ST
DULUTH, MN 55807-1563
Phone: (218) 724-3472 Fax: (218) 724-3843
Organization Subpart
Yes - NORTHWOOD CHILDREN'S SERVICES DA CENTER is subpart of another organization.
Authorized Official
MELISSA WINKLER
DIRECTOR OF QUALITY ASSURANCE
Phone: (218) 625-2638
Updated
Certification Date
May 12, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NORTHWOOD CHILDREN'S SERVICES DA CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS0292NO
OTHERMEDICA8457171
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
MN 801777
104100000X
- Social Worker
103T00000X
- Psychologist
101Y00000X
- Counselor

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.