Provider Demographics
NPI:1336196633
Name:NORTH HOMES, INC
Entity type:Organization
Organization Name:NORTH HOMES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FILIPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-751-0282
Mailing Address - Street 1:303 SE 1ST ST
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-3681
Mailing Address - Country:US
Mailing Address - Phone:218-327-3000
Mailing Address - Fax:218-327-1871
Practice Address - Street 1:1880 RIVER RD
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744-4085
Practice Address - Country:US
Practice Address - Phone:218-327-3000
Practice Address - Fax:218-327-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1010657-3-CRF322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN151023OtherUCARE/PREF ONE PROV #
MN53B28NEOtherBCBS LP GROUP PROV #
MN6251632OtherMEDICA/UBH PROV #
MN732687401Medicaid
MN672949500Medicaid
MN7Z11NOOtherBCBS CD SVCS GROUP #
MN632610200Medicaid
MN672949503Medicaid
MN895519100Medicaid
MN9F84NOOtherBCBS RES/ASSMT GROUP #
MN3G922LAOtherBCBS LICSW GROUP #
MN732687400Medicaid