1203 Grouphome
1203 Grouphome is a healthcare organization registered as Intellectual Disabilities Intermediate Care Facility in Mandan, ND, holding Type 2 (organization) NPI 1407153059 since 2011. The authorized official on file is Mike Remboldt, Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1407153059 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 1203 Grouphome |
| Parent organization | Hit Inc. |
| Practice address | 1203 7TH AVE SE, Mandan, ND, 58554 |
| Phone | 7016676168 |
| Enumeration date | 2011-02-17 |
| Last updated in NPPES | 2024-04-17 |
Authorized official
| Name | Mike Remboldt |
|---|---|
| Title | Ceo |
| Phone | 7016330379 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30878 | Medicaid | ND | — |
Copy-ready billing details
Provider: 1203 Grouphome NPI: 1407153059 Taxonomy: 315P00000X (Intellectual Disabilities Intermediate Care Facility) Address: 1203 7TH AVE SE, Mandan, ND, 58554
Verify this record
Cross-check NPI 1407153059 against the authoritative CMS record: view 1203 Grouphome on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is 1203 Grouphome located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-04-17.