SPECIALIZED TREATMENT SERVICES, INC. (NPI# 1063575306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063575306 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED TREATMENT SERVICES, INC. |
| Practice Address |
1121 Jackson St Ne Suite 105 Minneapolis MN 55413-1672 |
| Practice Telephone | 6122361703 |
| Practice Fax Number | 6122361701 |
| Mailing Telephone | 6122361703 |
| Mailing Fax Number | 6122361701 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-06-16 |
| Authorized Official Name | GLENN A MCGREGOR (VICE PRESIDENT) |
| Authorized Official Telephone | 6122361703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 10351731CDT | MN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MHCP OR MA | 744415000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225464134 | Specialized Treatment Services, Inc. | Clinic/Center | 311 Spruce St, Saint Paul, MN 55101-2446 | 2013-09-24 |
| 1982831533 | Specialized Treatment Services, Inc. | Substance Abuse Rehabilitation Facility | 1132 Central Ave. Ne, Minneapolis, MN 55413-1512 | 2009-06-22 |
| 1679858039 | Specialized Treatment Services, Inc. | Clinic/Center | 1132 Central Ave Ne, Minneapolis, MN 55413-1512 | 2011-10-18 |
| Street Address |
1121 JACKSON ST NE SUITE 105 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55413-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659394815 | John Richard Stroemer | Internal Medicine | 1121 Jackson St Ne, Suite 105, Minneapolis, MN 55413-1672 | 2006-07-26 |
| 1043866486 | Claire Cunningham | Social Worker | 1121 Jackson St Ne, Minneapolis, MN 55413-1672 | 2019-08-12 |
| 1508245747 | Lifelong Health Fmaily Chiropractic | Chiropractor | 1121 Jackson St Ne, 111, Minneapolis, MN 55413-1672 | 2015-05-20 |
| 1922396597 | Cheryl Lynn Johnson | Counselor | 1121 Jackson St Ne, Suite 105, Minneapolis, MN 55413-1672 | 2011-07-18 |
| 1982933297 | Lifelong Health Family Chiropractic Studio, LLC | Chiropractor | 1121 Jackson St Ne, Suite 111, Minneapolis, MN 55413-1672 | 2009-12-15 |
| 1568791002 | Carla Rae Thompson | Counselor | 1121 Jackson St Ne, Suite 105, Minneapolis, MN 55413-1672 | 2009-12-11 |
| 1992936405 | Isaac B Rue | Counselor | 1121 Jackson St Ne, Minneapolis, MN 55413-1672 | 2009-07-31 |
| 1376774802 | Abdul-hafeez Muhammad | Counselor | 1121 Jackson St Ne, 105, Minneapolis, MN 55413-1672 | 2009-07-31 |
| 1528299062 | Jane Lynn Sybrandt | Counselor | 1121 Jackson St Ne, Minneapolis, MN 55413-1672 | 2009-07-31 |
| 1477784981 | Windy Johnson | Social Worker | 1121 Jackson St Ne, Suite 105, Minneapolis, MN 55413-1672 | 2009-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
| 1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
| 1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
| 1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
| 1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
| 1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
| Find all providers in zip 55413 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366913287 | Guided Pathway | Substance Abuse Rehabilitation Facility | 2119 Elliot Ave, Minneapolis, MN 55404-2971 | 2018-12-17 |
| 1407322217 | Mabs Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5941 Washburn Ave S, Minneapolis, MN 55410-2848 | 2018-10-18 |
| 1063883411 | Life Refine Company, Inc. | Substance Abuse Rehabilitation Facility | 6901 78th Ave N Ste 106, Minneapolis, MN 55445-2720 | 2015-10-12 |
| 1336432087 | South East Homes Inc | Substance Abuse Rehabilitation Facility | 2732 Bloomington Ave, Minneapolis, MN 55407-1146 | 2011-05-26 |
| 1023314440 | Centre for African Immigrants Recovering From Drug and Alcohol Addicti | Substance Abuse Rehabilitation Facility | 5201 Bryant Ave N, Minneapolis, MN 55430-3588 | 2011-02-02 |
| 1932413887 | The Wayside House, Inc. | Substance Abuse Rehabilitation Facility | 2120 Clinton Ave S, Minneapolis, MN 55404 | 2010-08-03 |
| 1982831533 | Specialized Treatment Services, Inc. | Substance Abuse Rehabilitation Facility | 1132 Central Ave. Ne, Minneapolis, MN 55413-1512 | 2009-06-22 |
| 1548433840 | Victory Through Faith Recovery Services | Substance Abuse Rehabilitation Facility | 3047 5th Ave S, Minneapolis, MN 55408-2415 | 2008-04-08 |
| 1629296900 | Turning Point Incorporated | Substance Abuse Rehabilitation Facility | 1500 Golden Valley Road, Minneapolis, MN 55411 | 2007-04-23 |
| 1104950591 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 2800 University Ave Se, Suite 202, Minneapolis, MN 55414 | 2007-03-15 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55413 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.