AHNJI-BE-MAH-DIZ RECOVERY CENTER – NPI #1801065495
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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

AHNJI-BE-MAH-DIZ RECOVERY CENTER is a substance abuse rehabilitation facility located in CASS LAKE, MN. NPPES has assigned the NPI number 1801065495 to AHNJI-BE-MAH-DIZ RECOVERY CENTER on February 27, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AHNJI-BE-MAH-DIZ RECOVERY CENTER” is a dba name, the actual legal business name for this organization is LEECH LAKE BAND OF OJIBWE. 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 previously updated about 6 years ago on Jul 09, 2020. 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 AHNJI-BE-MAH-DIZ RECOVERY CENTER below.

NPI Profile for
LEECH LAKE BAND OF OJIBWE

NPI Number
1801065495
Enumeration Date

(more than 18 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
LEECH LAKE BAND OF OJIBWE
Doing Business As (dba): AHNJI-BE-MAH-DIZ RECOVERY CENTER
Primary location
16599 69TH AVENUE NW
CASS LAKE, MN 56633
Phone: (218) 335-6880 Fax: (218) 335-7760
Mailing address
190 SAILSTAR DR NW
CASS LAKE, MN 56633
Phone: (218) 335-6880 Fax: (218) 335-7760
Organization Subpart
Yes - AHNJI-BE-MAH-DIZ RECOVERY CENTER is subpart of another organization.
Authorized Official
EARL ROBINSON
HUMAN SERVICES DIRECTOR
Phone: (218) 335-8295
Updated
Certification Date
Jul 09, 2020

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)

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.