NORTHEAST HUMAN SERVICE CENTER (NPI# 1891808978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891808978 |
| Entity Type | Organization |
| Organization Name | NORTHEAST HUMAN SERVICE CENTER |
| Other Organization Name | RUTH MEIER'S PSYCHIATRIC RESEDENTIAL TREATMENT FACILITY |
| Practice Address |
151 S 4th St Ste 401 Grand Forks ND 58201-4715 |
| Mailing Address |
770 S 14th St Grand Forks ND 58201-4356 |
| Practice Telephone | 7017953000 |
| Practice Fax Number | 7017953050 |
| Mailing Telephone | 7017953870 |
| Mailing Fax Number | 7017953050 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | MRS. KATHYRN M. KENNA (DIRECTOR OF NORTHEAST HSC) |
| Authorized Official Telephone | 7017953000 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1049 | ND | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS ND PROVIDER NUMBER | 10330 | 01 |
| Other Name | Type Code |
|---|---|
| Ruth Meier's Psychiatric Resedential Treatment Facility | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366496341 | Northeast Human Service Center | Clinic/Center | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2006-05-22 |
| 1922529932 | Northeast Human Service Center | Community/Behavioral Health | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2017-06-29 |
| 1689612475 | Northeast Human Service Center | Clinic/Center | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2006-06-03 |
| Street Address |
151 S 4TH ST STE 401 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829805 | Kristine Beth Johnson | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2020-10-22 |
| 1578100483 | Zachary Krieg | Social Worker | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-12-10 |
| 1134766561 | Angela Kaiser | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-12-04 |
| 1780234377 | Lisa Amundgaard | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-09-16 |
| 1649828583 | Moire C Dunn | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-09-03 |
| 1982266029 | George Patrick Guimont | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-06-28 |
| 1770148371 | Elizabeth I Meyer | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-05-08 |
| 1386108579 | Abby J. Samson | Counselor | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-01-22 |
| 1013486166 | Kayla J. Norton | Social Worker | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-11-19 |
| 1811474182 | Janean Nichole Skajem | Case Manager/Care Coordinator | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| 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 |
|---|---|---|---|---|
| 1306395538 | Serenity Christian Homes | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2016-09-29 |
| 1114059805 | Home On The Range | Residential Treatment Facility, Emotionally Disturbed Children | 16351 I94, Sentinel Butte, ND 58654-9500 | 2007-03-09 |
| 1154405983 | Prairie Learning Center | Residential Treatment Facility, Emotionally Disturbed Children | 7785 Saint Gertrude Ave, Raleigh, ND 58564-4103 | 2006-10-25 |
| 1346351475 | Pride Manchester Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2006-08-31 |
| 1346732773 | Serenity Christian Homes Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2018-06-01 |
| 1568916989 | Pride Manchester Hope Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7301 Keepsake Ln, Bismarck, ND 58501-8664 | 2016-08-15 |
| 1225217300 | Harmony House | Residential Treatment Facility, Emotionally Disturbed Children | 1601 College Dr N, C/o Sports Center, Devils Lake, ND 58301-1550 | 2007-10-25 |
| 1750467999 | Dakota Boys & Girls Ranch Association | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
| 1669558805 | Dakota Boys & Girls Ranch Association | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
| 1386729176 | Dakota Boys & Girls Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-27 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.