PROVIDENCE HOUSE MINOT LLC – NPI #1699548214
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

PROVIDENCE HOUSE MINOT LLC is a substance abuse rehabilitation facility located in MINOT, ND. NPPES has assigned the NPI number 1699548214 to PROVIDENCE HOUSE MINOT LLC on November 06, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Jul 26, 2024. 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 PROVIDENCE HOUSE MINOT LLC below.

NPI Profile for
PROVIDENCE HOUSE MINOT LLC

NPI Number
1699548214
Enumeration Date

(more than 2 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
PROVIDENCE HOUSE MINOT LLC
Primary location
415 MAIN ST S
MINOT, ND 58701-4414
Phone: (701) 838-3300 Fax:
Mailing address
PO BOX 1286
WATFORD CITY, ND 58854-1286
Phone: (701) 838-3300 Fax:
Organization Subpart
No
Authorized Official
MORGAN LAYNE
EXECUTIVE DIRECTOR
Phone: (701) 828-3300
Updated
Certification Date
Jul 26, 2024

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.

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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
276400000X
- Rehabilitation, Substance Use Disorder Unit

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.