| North Homes, Inc | |
|
1880 River Rd Grand Rapids MN 55744-4085 | |
| (218) 327-3000 | |
| (218) 327-1871 |
| Full Name | North Homes, Inc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 1880 River Rd, Grand Rapids, Minnesota |
| Authorized Official Name and Position | Hailey Erickson (HIM MGR/ CONTRACTING&CREDENTIALING) |
| Authorized Official Contact | 2182443019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Homes, Inc 303 Se 1st St Grand Rapids MN 55744-3681 Ph: (218) 327-3000 | North Homes, Inc 1880 River Rd Grand Rapids MN 55744-4085 Ph: (218) 327-3000 |
| NPI Number | 1790826550 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/25/2025 |
| Certification Date | 08/25/2025 |
| Medicare PECOS PAC ID | 0648279554 |
|---|---|
| Medicare Enrollment ID | O20061204000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790826550 | NPI | - | NPPES |
| 324989 | Other | MN | AVAILITY |
| 3G922LA | Other | MN | BCBS OF MN |
| 632610200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (* (Not Available)) | Primary |
| Provider Name | Kathryn J Faver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639188543 PECOS PAC ID: 2668441445 Enrollment ID: I20040928001288 |
| Provider Name | Kathleen A Rubesh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679747034 PECOS PAC ID: 5890927578 Enrollment ID: I20140411000115 |
| Provider Name | Colin M Heglund |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154511905 PECOS PAC ID: 7810119237 Enrollment ID: I20141119000245 |
| Provider Name | Jaime E Christmas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780074997 PECOS PAC ID: 0143547125 Enrollment ID: I20150401000679 |
| Provider Name | Amy M Mallum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447631452 PECOS PAC ID: 4385955707 Enrollment ID: I20150625001416 |
| Provider Name | Jennifer C Sheppard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790168201 PECOS PAC ID: 9931414604 Enrollment ID: I20150811004040 |
| Provider Name | Cynthia A Schackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154419877 PECOS PAC ID: 9830125483 Enrollment ID: I20151123001770 |
| Provider Name | Andrea N Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194275537 PECOS PAC ID: 4880975333 Enrollment ID: I20161221001978 |
| Provider Name | Kristin Mary Sorensen Tanenbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992960819 PECOS PAC ID: 6103002548 Enrollment ID: I20201006003075 |
| Provider Name | Amy L Lindahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861017956 PECOS PAC ID: 9931554524 Enrollment ID: I20231017003590 |
| Provider Name | Nicole M Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023892965 PECOS PAC ID: 1759738818 Enrollment ID: I20231110000851 |
| Provider Name | Paige Kavanagh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174204804 PECOS PAC ID: 4284072158 Enrollment ID: I20240411000285 |
| Provider Name | Hannah L Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740914050 PECOS PAC ID: 9133666340 Enrollment ID: I20240806002594 |
| Provider Name | Drusilea A Donato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093558124 PECOS PAC ID: 6608313820 Enrollment ID: I20240806002964 |
| Provider Name | Madeline R Peart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285462937 PECOS PAC ID: 8628502101 Enrollment ID: I20241106000927 |
| Provider Name | Stacy R Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992453864 PECOS PAC ID: 8123552619 Enrollment ID: I20241106001627 |
| Provider Name | Brianna L Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326850827 PECOS PAC ID: 9335667237 Enrollment ID: I20250514003284 |
| Provider Name | Sarah Franzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053137992 PECOS PAC ID: 7315465887 Enrollment ID: I20250519001235 |
| Provider Name | Mary Stager |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336964519 PECOS PAC ID: 5597283093 Enrollment ID: I20250519001822 |
| Provider Name | Jena J Laakso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295535573 PECOS PAC ID: 1951811694 Enrollment ID: I20250611001052 |
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Stepping Stones Child And Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Sw 25th St, Grand Rapids, MN 55744 Phone: 218-301-9122 | |
Bella Mente Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 E Us Highway 169, Grand Rapids, MN 55744 Phone: 888-735-3555 Fax: 888-291-6818 | |
Itasca Psychiatric Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Ne 3rd St, Grand Rapids, MN 55744 Phone: 218-327-2284 Fax: 218-327-3173 | |
J Hill Psychological Services L.l.c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Nw 4th St Ste 7, Grand Rapids, MN 55744 Phone: 218-999-7552 | |
Stapleton Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1749 Se 2nd Ave, Grand Rapids, MN 55744 Phone: 218-326-5694 Fax: 218-326-5313 | |
Healing Waters Counseling & Psychological Services Plcc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Nw 4th St Ste 3, Grand Rapids, MN 55744 Phone: 218-259-7797 |