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General NPI Number Information
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NPI Number | 1790826550
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Entity Type | Organization
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Legal Business Name | NORTH HOMES, INC
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1880 RIVER RD
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City | GRAND RAPIDS
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State | MN
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Zip | 55744-4085
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Country | US
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Telephone | 218-327-3000
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Fax | 218-327-1871
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Provider Business Mailing Address
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Address Line | 303 SE 1ST ST
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City | GRAND RAPIDS
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State | MN
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Zip | 55744-3681
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Country | US
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Telephone | 218-327-3000
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Fax | 218-327-1871
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Authorized Official
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Title or Position | HIM MGR/ CONTRACTING&CREDENTIALING
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Name | HAILEY ERICKSON
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Credential |
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Telephone | 218-244-3019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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