Our Homes South, Inc in Medford - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Our Homes South, Inc - NPI 1184705634
Our Homes South, Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Medford, Minnesota. Our Homes South, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Our Homes South, Inc is 1184705634. The last update date is 2020-08-22.
Our Homes South, Inc's current location address is Po Box 119, Medford, Minnesota. You can contact this provider via phone number 5074552114 and fax number 5074552178. The mailing address for Our Homes South, Inc is Po Box 119, Medford, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Our Homes South, Inc |
|---|---|
| Address | Po Box 119, Medford, Minnesota |
| Phone Number | 5074552114 |
| Fax Number | 5074552178 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Burgess Klaus Dennis |
| Telephone Number | 5074552114 |
NPI Number Detail
| NPI Number | 1184705634 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 119 |
|---|---|
| City | Medford |
| State | Minnesota (MN) |
| Post Code | 550490119 |
| Phone Number | 5074552114 |
| Fax Number | 5074552178 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 8092892WS |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Our Homes South, Inc by the Centers for Medicare & Medicaid Services?
The Our Homes South, Inc has been issued the NPI (National Provider Identifier) 1184705634, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Our Homes South, Inc located?
The Our Homes South, Inc is located at Po Box 119, Medford, MN 550490119.
What is Our Homes South, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Our Homes South, Inc's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184705634 to Our Homes South, Inc?
The Our Homes South, Inc received its 1184705634 assignment from the Centers for Medicare & Medicaid Services on 2006-10-18.
When was the information regarding Our Homes South, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Our Homes South, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.