OrganizationActive
Northeast House Inc
NPI 1962692905 · Intellectual Disabilities Intermediate Care Facility · Minneapolis, MN
Provider details
- NPI number
- 1962692905
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- William Everett, Admin Assist/Program Dir(612) 789-8841
- License
- 801746-3RS (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1918 19th Ave Ne
Minneapolis, MN 55418-4728
Phone: (612) 789-8841
Approximate (ZIP-level) locationGet directions
Mailing address
1918 19th Ave Ne
Minneapolis, MN 55418-4728
Registry dates
- Enumerated
- 2007-07-26
- Last updated
- 2007-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.