# HOME ON THE RANGE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114059805
- **Authorized official:** DIANE SZUDERA A.O. (BUSINESS ADMINISTRATION DIRECTOR)
- **Authorized official phone:** (701) 872-3745

## Contact information

- **Practice address:** 16351 I94, SENTINEL BUTTE, ND 58654-9500
- **Practice address phone:** (701) 872-3745
- **Practice address fax:** (701) 872-3748
- **Mailing address:** 16351 I94, SENTINEL BUTTE, ND 58654-9500
- **Mailing address phone:** (701) 872-3745
- **Mailing address fax:** (701) 872-3748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | ND | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 050603 | — | ND |
| 01 | — | 06887-001 | BS OF ND | ND |
| 05 | — | 1454974 | — | ND |
| 05 | — | 1478591 | — | ND |
| 05 | — | 320399 | — | MT |