FAMILY FOCUSED RECOVERY SERVICES PLLC


Address: 4080 W Broadway Ave, Robbinsdale, MN 55422-5604
Phone: 6122208645

FAMILY FOCUSED RECOVERY SERVICES PLLC (NPI# 1801161427) 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) 1801161427
Entity Type Organization
Organization Name FAMILY FOCUSED RECOVERY SERVICES PLLC
Practice Address 4080 W Broadway Ave
Robbinsdale
MN 55422-5604
Practice Telephone 6122208645
Mailing Telephone 6122208645
Enumeration Date 2012-03-14
Last Update Date 2012-03-14
Authorized Official Name DERRYCK VANCURK MOORE (CEO)
Authorized Official Telephone 6122208645
Authorized Official Credential LADC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 301674 MN Residential Treatment Facilities

Office Location

Street Address 4080 W BROADWAY AVE
City ROBBINSDALE
State MN
Zip Code 55422-5604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578569232 Healthplus Chiropractic Chiropractor 4080 W Broadway Ave, Ste 128, Robbinsdale, MN 55422-5605 2005-06-27
1427508035 U.S. Healthworks Medical Group of Minnesota, PC Preventive Medicine 4080 W Broadway Ave, Suite 200, Robbinsdale, MN 55422-5604 2016-10-06
1427482314 Healthplus Chiropractic, P.a. Chiropractor 4080 W Broadway Ave, Suite 128, Robbinsdale, MN 55422-5604 2013-08-27
1700226503 Jacob Aaron Cruze Physical Therapist 4080 W Broadway Ave, Suite 300, Robbinsdale, MN 55422-5604 2013-06-26
1396007415 Amy Kathleen Cole Physical Therapist 4080 W Broadway Ave, Suite 300, Robbinsdale, MN 55422-5604 2012-06-14
1023394731 Ian Michael Topping Physical Therapist 4080 W Broadway Ave, Suite 200, Robbinsdale, MN 55422-5604 2011-10-26
1053649632 Health Activation Services, Pllc Clinic/Center 4080 W Broadway Ave, #200, Robbinsdale, MN 55422-5604 2009-11-19
1285961144 Sanford Alan Olevitch Physical Therapist 4080 W Broadway Ave, Robbinsdale, MN 55422-5604 2009-11-12
1295929735 Megan Jean Opsahl Physical Therapist 4080 W Broadway Ave, #300, Robbinsdale, MN 55422-5604 2007-08-28
1306039250 Angela Szumowski Specialist 4080 W Broadway Ave, Suite 300, Robbinsdale, MN 55422-5604 2007-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154966794 Trevor Velin Chiropractor Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 2019-11-07
1780165134 American Current Care of Minnesota PC Clinic/Center 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 2018-08-23
1366928426 Creekside Family Dental Pllc Dentist Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 2018-07-12
1497249536 Luke Utecht Psychologist 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 2018-06-21
1821582115 Ajaa Oliver Registered Nurse 3606 Zenith Ave N, Robbinsdale, MN 55422 2018-06-19
1306348024 Leila Jean Erlandson Marriage & Family Therapist Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 2018-03-08
1467969907 Minneapolis Health Clinic Pllc Internal Medicine 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 2018-01-05
1275049116 Lake Town Homecare, LLC In Home Supportive Care 4119 Scott Ave N, Robbinsdale, MN 55422 2017-12-14
1750894002 Unihealth Home Care, LLC Home Health 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 2017-11-08
1194172296 Crosscultural Health Care Inc Home Health 5801 Duluth Street Suite 310, Golden Valley, MN 55422 2016-05-18
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255948584 Sober Living Connection Substance Abuse Rehabilitation Facility 11115 Minnetonka Blvd, Hopkins, MN 55305 2020-09-30
1730791393 Crecer Services Substance Abuse Rehabilitation Facility 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 2020-08-17
1801405584 Bridge Recovery LLC Substance Abuse Rehabilitation Facility 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 2020-07-28
1710505821 Rrecovery Services Substance Abuse Rehabilitation Facility 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 2020-07-06
1912520966 Avenues, LLC Substance Abuse Rehabilitation Facility 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 2020-05-26
1962022939 Valley View Recovery Center Inc. Substance Abuse Rehabilitation Facility 31591 64th Ave, Cannon Falls, MN 55009-4296 2020-04-20
1801420039 Recovery Center LLC Substance Abuse Rehabilitation Facility 109 W James St, Paynesville, MN 56362-1216 2020-02-26
1336772425 Northern Minnesota Addiction Wellness Center Substance Abuse Rehabilitation Facility 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 2020-02-17
1386277622 Community of Recovering People Substance Abuse Rehabilitation Facility 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 2020-02-14
1992366645 One Touch of Christ Evangelistic Ministries Substance Abuse Rehabilitation Facility 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 2019-06-24
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Competitor

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City ROBBINSDALE
Zip Code 55422

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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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