ADDICTION CARE PHYSICIANS (NPI# 1962899013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962899013 |
| Entity Type | Organization |
| Organization Name | ADDICTION CARE PHYSICIANS |
| Practice Address |
4001 Stinson Blvd Suite 212 Minneapolis MN 55421-3488 |
| Mailing Address |
3616 Roosevelt St Ne St Anthony Village MN 55418-1559 |
| Practice Telephone | 6127882273 |
| Practice Fax Number | 6128861939 |
| Mailing Telephone | 6127882273 |
| Mailing Fax Number | 6128861939 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | DR. SIRRI ATANG NOMO-ONGOLO (ADMINISTRATION) |
| Authorized Official Telephone | 6127882273 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| 000000000 | 000000000 | 01 |
| Street Address |
4001 STINSON BLVD SUITE 212 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55421-3488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556207 | Daniel Thomas Durant | Ophthalmology | 4001 Stinson Blvd, Suite 100, Minneapolis, MN 55421-3488 | 2005-05-24 |
| 1548574403 | Complete Home Health Services PCa | Home Health | 4001 Stinson Blvd, Suite Ll32, Minneapolis, MN 55421-3488 | 2010-08-03 |
| 1083849558 | Scott A. Armstrong, D.d.s. | Dentist | 4001 Stinson Blvd, Suite 420, Minneapolis, MN 55421-3488 | 2009-05-27 |
| 1093966301 | Bibi Nomo Neumann | Counselor | 4001 Stinson Blvd, Suite 223, Minneapolis, MN 55421-3488 | 2008-10-06 |
| 1114079415 | Affinity Ministries Inc. | Social Worker | 4001 Stinson Blvd, Suite 404, Minneapolis, MN 55421-3488 | 2007-01-17 |
| 1639220122 | Norman Todd Riggs | Social Worker | 4001 Stinson Blvd, Suite 404, Minneapolis, MN 55421-3488 | 2007-01-13 |
| 1538229620 | Wendy L Engstrom | Dentist | 4001 Stinson Blvd, Suite 310, Minneapolis, MN 55421-3488 | 2006-12-11 |
| 1205943214 | Eye Care Associates Pa | Ophthalmology | 4001 Stinson Blvd, Suite 100, Minneapolis, MN 55421-3488 | 2006-08-24 |
| 1598787707 | Scott A. Armstrong | Dentist | 4001 Stinson Blvd, Suite 420, Minneapolis, MN 55421-3488 | 2006-07-24 |
| 1013908581 | Michael Edward Forbes | Dentist | 4001 Stinson Blvd, Suite 426, Minneapolis, MN 55421-3488 | 2005-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241782 | Cc Group Home Care Inc | Non-emergency Medical Transport (VAN) | 524 Huset Pkwy Ne, Columbia Heights, MN 55421 | 2019-11-30 |
| 1710455324 | Victoria F Renner | Physical Therapist | 4512, 3700 Foss Rd, Minneapolis, MN 55421 | 2018-11-13 |
| 1245721976 | Complete Care Home Care LLC | Home Health | 4111 Central Ave Ne North Building, Suite 202, Columbia Heights, MN 55421 | 2018-05-29 |
| 1053816389 | Anoka Health Center LLC | Clinic/Center | 4111 Central Ave N.e, Suite 201 North Building, Columbia Heights, MN 55421 | 2018-03-28 |
| 1508381047 | Minnesota Home Health Care LLC | Home Health | 534 Huset Parkway, Columbia Heights, MN 55421 | 2017-08-05 |
| 1720520448 | Tesfa International School | Local Education Agency (LEA) | 1550 40th Avenue Northeast, Columbia Heights, MN 55421 | 2016-11-11 |
| 1487012548 | Icare Transportation | Non-emergency Medical Transport (VAN) | 2816 Silver Ln Ne #305, Saint Anthony, MN 55421 | 2016-02-04 |
| 1194183368 | Warsame Warsame | Non-emergency Medical Transport (VAN) | 1115 45th Ave Ne, Columbia Heights, MN 55421 | 2016-02-03 |
| 1083083398 | Epic Transportation LLC | Clinic/Center | 355 Orendorff Way Ne, Columbia Heights, MN 55421 | 2015-09-16 |
| 1508281023 | Alexandra Marie Hodson | Occupational Therapist | 5155 E. River Rd, Suite #403, Fridley, MN 55421 | 2014-02-20 |
| Find all providers in zip 55421 | ||||
| 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 | 55421 |
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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.