THEODORE I NPI 1831254408

NPI Information

  • NPI: 1831254408
  • Provider Name: THEODORE I
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Former Legal Business Name: BOSTON HEALTH CARE SYSTEMS, INC.
  • Address: 1314 LIVINGSTON AVE
    SAINT PAUL, MN
    ZIP 55118
  • Phone: (651) 501-2378

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NPI Details

THEODORE I is a community based residential treatment facility mental illness in Saint Paul, MN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THEODORE I NPI is 1831254408. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Boston Health Care Systems, Inc..

The provider's business location address is:

1314 LIVINGSTON AVE
SAINT PAUL, MN
ZIP 55118-409
Phone: (651) 501-2378
Fax: (651) 738-1737

The provider's authorized official is Michele K. Boston .
The authorized official title is Ceo and has the following contact phone number (651) 501-2378.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness802493-1-RMIMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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