# BAPTIST HOME, INC

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

## Provider details

- **NPI number:** 1700855657
- **Authorized official:** SEELOCHANI STADTHERR (AVP, REVENUE CYCLE MANAGEMENT)
- **Authorized official phone:** (952) 855-5041

## Contact information

- **Practice address:** 3400 NEBRASKA DR, BISMARCK, ND 58503
- **Practice address phone:** (701) 223-3040
- **Practice address fax:** (701) 223-3053
- **Mailing address:** 7171 OHMS LN, EDINA, MN 55439-2142
- **Mailing address phone:** (952) 855-5041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | 8003A | ND | — |
| 314000000X | Skilled Nursing Facility | 1003A | ND | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 07/23/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 030003 | — | ND |
| 05 | — | 030728 | — | ND |
| 01 | — | 1321 | BLUE CROSS BLUE SHIELD | ND |