Northwest Residence, Inc.
NPI 1629198965 · Mental Illness Community Based Residential Treatment Facility · Brooklyn Center, MN
Northwest Residence, Inc. is a Mental Illness Community Based Residential Treatment Facility organization in Brooklyn Center, MN (NPI 1629198965).
Provider details
- NPI number
- 1629198965
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Diane Ollendick Wright, Executive Director(763) 277-1038
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2013-05-24
Frequently asked questions
- What is Northwest Residence, Inc.'s NPI number?
- Northwest Residence, Inc.'s National Provider Identifier (NPI) is 1629198965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Residence, Inc.?
- Northwest Residence, Inc. is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Northwest Residence, Inc. located?
- Northwest Residence, Inc.'s practice location on file with NPPES is 4408 69th Ave N, Brooklyn Center, MN 55429-1739.
- What is Northwest Residence, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Northwest Residence, Inc. is (763) 566-3650.
- Who is the authorized official for Northwest Residence, Inc.?
- The authorized official listed on Northwest Residence, Inc.'s NPPES record is Diane Ollendick Wright, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Residence, Inc.'s NPI active?
- Yes — Northwest Residence, Inc.'s NPI (1629198965) is active in the NPPES registry as of the last update on 2013-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.