REDLAKE GROUP HOME – NPI #1225202625
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

REDLAKE GROUP HOME is a substance abuse rehabilitation facility located in RED LAKE, MN. NPPES has assigned the NPI number 1225202625 to REDLAKE GROUP HOME on April 16, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “REDLAKE GROUP HOME” is a dba name, the actual legal business name for this organization is REDLAKE CHEMICAL HEALTH PROGRAM GROUP HOME. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

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 REDLAKE GROUP HOME below.

NPI Profile for
REDLAKE CHEMICAL HEALTH PROGRAM GROUP HOME

NPI Number
1225202625
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
REDLAKE CHEMICAL HEALTH PROGRAM GROUP HOME
Doing Business As (dba): REDLAKE GROUP HOME
Primary location
15797 MAIN AVENUE
RED LAKE, MN 56671
Phone: (218) 679-3995 Fax: (218) 679-3976
Mailing address
PO BOX 114
REDLAKE, MN 56671-0114
Phone: (218) 679-3995 Fax: (218) 679-3976
Organization Subpart
No
Authorized Official
SALENA BRANCHAUD
PROGRAM MANAGER
Phone: (218) 679-3995
Updated
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (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.