CHRISTIAN RESTORATION SERVICES (NPI# 1336423391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336423391 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN RESTORATION SERVICES |
| Practice Address |
7157 Commerce Circle W Fridley MN 55432 |
| Practice Telephone | 7635662888 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | MRS. MARCELLA GARRETSON (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7635662888 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY RESTORATION SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1060417-1-CDT | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LICENSE ALCOHOL DRUG TREATMENT PROGRAM | 10604171CDT | 01 |
| Street Address |
7157 COMMERCE CIRCLE W |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1013216811 | Minneapolis-st. Paul Periodontics | Dentist | 1109 East Moore Lake Drive, Fridley, MN 55432 | 2011-03-18 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561057 | Suzanne L Sater | Counselor | 6341 Monroe St Ne, Fridley, MN 55432-5028 | 2019-11-04 |
| 1437633575 | Beau John Elkington | Counselor | 7590 Lyric Ln Ne Ste 114, Fridley, MN 55432-3251 | 2018-09-24 |
| 1437682242 | Amy Christensen | Counselor | 7846 Alden Way Ne, Fridley, MN 55432-2406 | 2017-04-07 |
| 1689946048 | Eric Keith Garnett | Counselor | 7157 Commerce Cir W, Fridley, MN 55432-3108 | 2012-02-01 |
| 1982054987 | Keith Clepper | Counselor | 550 Osborne Rd Ne, Fridley, MN 55432 | 2016-06-21 |
| 1114096724 | Anthony Warren Hunniutt | Counselor | 7590 Lyric Lane Ne, Fridley, MN 55432 | 2006-11-07 |
| 1962598292 | Edwin Jade Maki | Counselor | 7590 Lyric Lane Ne, Unity Hospital, Fridley, MN 55432 | 2006-10-05 |
| 1922102003 | Eric Leroy Sanders | Counselor | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2006-09-11 |
| 1407868672 | Sharon Ellen Fearon | Counselor | 7590 Lyric Ln Ne, Fridley, MN 55432-3251 | 2006-08-13 |
| 1417969601 | Gloria Jean O'loughlin | Counselor | 7590 Lyric Ln Ne, Fridley, MN 55432-3251 | 2006-08-13 |
| Find all providers in FRIDLEY | ||||
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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.