THE HILLS YOUTH AND FAMILY SERVICES (NPI# 1407949167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407949167 |
| Entity Type | Organization |
| Organization Name | THE HILLS YOUTH AND FAMILY SERVICES |
| Other Organization Name | CAMBIA HILLS |
| Practice Address |
4321 Allendale Avenue Duluth MN 55803 |
| Mailing Address |
4321 Allendale Avenue Duluth MN 55803-1562 |
| Practice Telephone | 2187287500 |
| Practice Fax Number | 2187287408 |
| Mailing Telephone | 2187287500 |
| Mailing Fax Number | 2187287501 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MELISSA HEROLD (CONTROLLER) |
| Authorized Official Telephone | 2186236425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
040978200 | MN | Ambulatory Health Care Facilities |
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1036983-1-CRF | MN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE MINNESOTA | 136305 | 01 |
| MN | 040978200 | 05 | |
| MN | UBH/MEDICA SELECT CARE | 8467273 | 01 |
| MN | PREFERREDONE | 1042152 | 01 |
| MN | BCBS OF MN | 262L1WO | 01 |
| Other Name | Type Code |
|---|---|
| Cambia Hills | Doing Business As Name - Organization |
| St. James Home of Duluth | Former Legal Business Name - Organization |
| Woodland Hills | Doing Business As Name - Organization |
| Street Address |
4321 ALLENDALE AVENUE |
| City | DULUTH |
| State | MN |
| Zip Code | 55803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144872615 | Rosslyn Jean Kendrick | Health Educator | 1926 Lakeview Dr, Duluth, MN 55803 | 2019-07-15 |
| 1255757191 | Chandra Rose Shoberg | Physical Therapy Assistant | 131 West Wabasha Street, Duluth, MN 55803 | 2014-03-17 |
| 1053642652 | Kate Elizabeth Matson | Social Worker | 5095 Fish Lake Road, Duluth, MN 55803 | 2010-01-21 |
| 1972740025 | Danie-marie Osterlund | Marriage & Family Therapist | 4321 Allendale Ave., Duluth, MN 55803 | 2009-01-12 |
| 1205020419 | Marjorie Lynn Gilbertson | Registered Nurse | 167 Farley Lane, Duluth, MN 55803 | 2007-08-30 |
| 1497894646 | Jeffrey Keith Somrock | Dentist | 22 E Calvary Rd, Woodland Family Dental Clinic Pa, Duluth, MN 55803 | 2007-02-05 |
| 1942567086 | Carl Peter Rasmussen | Family Medicine | 1400 Woodland Ave, Duluth, MN 55803 | 2012-04-13 |
| 1285011692 | Chandra J Fischer | Midwife | 3548 W Tischer Rd, Duluth, MN 55803-1124 | 2015-05-05 |
| 1518143999 | Claudia Virginia Weber | Psychologist | 4298 Charles Rd, Duluth, MN 55803-1270 | 2008-01-15 |
| 1871900712 | Rachel E Watson | Massage Therapist | 3947 E Calvary Rd, Ste 202, Duluth, MN 55803-1306 | 2014-07-11 |
| Find all providers in zip 55803 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801254867 | Julia Keehr-oleson | Residential Treatment Facility, Emotionally Disturbed Children | 1608 W River Rd, Little Falls, MN 56345-4155 | 2016-02-05 |
| 1528226370 | Avanti Center for Girls | Residential Treatment Facility, Emotionally Disturbed Children | 10300 Flanders St Ne, Blaine, MN 55449-5710 | 2008-05-29 |
| 1760666903 | Valley-lake Boy's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3850 200th Ave, Breckenridge, MN 56520-0411 | 2007-12-24 |
| 1043402233 | Pinnacle Programs, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 401 W Luverne St, Magnolia, MN 56158-2004 | 2007-08-13 |
| 1578765269 | Kandiyohi County Group Homes | Residential Treatment Facility, Emotionally Disturbed Children | 822 Park Ave Nw, Willmar, MN 56201-2568 | 2007-06-04 |
| 1710197207 | Network for Native Futures | Residential Treatment Facility, Emotionally Disturbed Children | 6781 160th St Nw, Cass Lake, MN 56633-3049 | 2007-05-23 |
| 1376753160 | Red Lake Department of Family and Children Services | Residential Treatment Facility, Emotionally Disturbed Children | 13586 Tribal Agency Street, Redlake, MN 56671-0427 | 2007-05-23 |
| 1508995689 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 1726 7th Ave S, Saint Cloud, MN 56301-5711 | 2007-03-05 |
| 1316076839 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 1010 Maryland Lane, Fergus Falls, MN 56537 | 2007-03-02 |
| 1972650893 | Gerard Treatment Programs | Residential Treatment Facility, Emotionally Disturbed Children | 1111 28th St Ne, Austin, MN 55912-6410 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.