HOMEWARD BOUND INC. NPI 1962589705

NPI Information

  • NPI: 1962589705
  • Provider Name: HOMEWARD BOUND, INC.
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • CLIA Number: 24D0715530
  • Address: 7839 BROOKLYN BLVD
    BROOKLYN PARK, MN
    ZIP 55445
  • Phone: (763) 566-7860

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NPI Details

HOMEWARD BOUND, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Brooklyn Park, MN. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HOMEWARD BOUND, INC. NPI is 1962589705. The provider is registered as an organization entity type.

The provider's business location address is:

7839 BROOKLYN BLVD
BROOKLYN PARK, MN
ZIP 55445-716
Phone: (763) 566-7860
Fax: (763) 566-1819

The provider's authorized official is Donald R Priebe .
The authorized official title is Ceo and has the following contact phone number (763) 525-3186.

The CLIA number assigned to this NPI record is 24D0715530 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 6/3/2008.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities802812MINNESOTAYes

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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