HUMBLE RECOVERY


Address: 1156 Aldrich Ave N, Minneapolis, MN 55411-4248
Phone: 7638070614

HUMBLE RECOVERY (NPI# 1093340036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093340036
Entity Type Organization
Organization Name HUMBLE RECOVERY
Practice Address 1156 Aldrich Ave N
Minneapolis
MN 55411-4248
Practice Telephone 7638070614
Mailing Telephone 7638070614
Enumeration Date 2020-03-10
Last Update Date 2020-03-10
Authorized Official Name JEANETTE SLEDGE (CO-OWNER)
Authorized Official Telephone 7638070614
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 1156 ALDRICH AVE N
City MINNEAPOLIS
State MN
Zip Code 55411-4248

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City MINNEAPOLIS
Zip Code 55411

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Dataset Information

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.

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