Provider Demographics
NPI:1639244627
Name:NORTH HOMES, INC.
Entity Type:Organization
Organization Name:NORTH HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FILIPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-751-0282
Mailing Address - Street 1:303 SE 1ST ST.
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744
Mailing Address - Country:US
Mailing Address - Phone:218-322-4104
Mailing Address - Fax:218-999-7068
Practice Address - Street 1:303 SE 1ST ST
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744
Practice Address - Country:US
Practice Address - Phone:218-322-4104
Practice Address - Fax:218-999-7068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3G922LAOtherBCBS OF MN
MN672949501Medicaid
MN84-48716OtherMEDICA PMAP PROV. #