SE HOMES RECOVERY INC (NPI# 1437526720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437526720 |
| Entity Type | Organization |
| Organization Name | SE HOMES RECOVERY INC |
| Other Organization Name | SOUTH EAST HOMES INC. |
| Practice Address |
4020 Minnehaha Ave Ste 2070 Minneapolis MN 55406-4529 |
| Mailing Address |
2542 17th Ave S Minneapolis MN 55404-4001 |
| Practice Telephone | 6127027231 |
| Mailing Telephone | 6127027231 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |
| Authorized Official Name | MRS. ABAH ABDUL MOHAMED (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 6127027231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1074798-2-CDT | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South East Homes Inc. | Doing Business As Name - Organization |
| Street Address |
4020 MINNEHAHA AVE STE 2070 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55406-4529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393534 | Central Health Services | Case Management | 4020 Minnehaha Ave Ste 2070, Minneapolis, MN 55406-4600 | 2020-10-14 |
| 1598363673 | Blue Behavioral Services | Community/Behavioral Health | 4020 Minnehaha Ave Ste 2070, Minneapolis, MN 55406-4600 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
| 1184263253 | Carrie Shannon Nightshade | Acupuncturist | 3706 E 42nd Street, Minneapolis, MN 55406 | 2020-01-06 |
| 1164060059 | Deborah Owen | Acupuncturist | 3706 E 42nd St, Minneapolis, MN 55406 | 2019-12-11 |
| 1194290593 | Noelle Therese Wolf | Counselor | 2637 27th Ave S # 229, Minneapolis, MN 55406 | 2018-10-11 |
| 1255819819 | Ayan Osman Ali | Behavior Technician | 3355 Haiwatha Ave Suite 100, Minneapolis, MN 55406 | 2018-08-04 |
| 1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
| 1497261770 | Carroll Lee Beaty | Massage Therapist | 2801 42nd Ave. So., Minneapolis, MN 55406 | 2017-12-21 |
| 1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
| 1851823942 | Safia Abdulkadir Mohamud | Contractor | 2740 Minnehaha Ave Suit 100, Minneapolis, MN 55406 | 2017-03-29 |
| 1881051944 | Sos Transportation LLC | Non-emergency Medical Transport (VAN) | 3355 Haiwatha Ave Suit 100, Minneapolis, MN 55406 | 2016-01-20 |
| Find all providers in zip 55406 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340036 | Humble Recovery | Clinic/Center | 1156 Aldrich Ave N, Minneapolis, MN 55411-4248 | 2020-03-10 |
| 1366096307 | Centered On Youth | Clinic/Center | 3210 Oliver Ave N, Minneapolis, MN 55412-2316 | 2019-07-29 |
| 1205078771 | North Point Health & Wellness Center, Inc | Clinic/Center | 1315 Penn Ave N, Minneapolis, MN 55411-3047 | 2009-03-30 |
| 1295866911 | Tubman | Clinic/Center | 4432 Chicago Ave S, Minneapolis, MN 55407-3519 | 2007-03-07 |
| 1720154081 | Park Ave Center Inc | Clinic/Center | 2525 Park Ave, Minneapolis, MN 55404 | 2006-11-28 |
| 1811375397 | Hope Health Care, Inc | Clinic/Center | 4721 Hiawatha Ave, Minneapolis, MN 55406-3928 | 2015-05-15 |
| 1558781633 | American Indian Community Development Corporation | Clinic/Center | 1800 Chicago Ave, Minneapolis, MN 55404-1901 | 2014-04-16 |
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| 1821550005 | Coscarelli Consulting, LLC | Clinic/Center | 1687 Woodlane Dr Ste 2002, Woodbury, MN 55125-3063 | 2019-04-04 |
| 1669943908 | Capital Health Services LLC | Clinic/Center | 680 Mendelssohn Ave N, Golden Valley, MN 55427-4306 | 2018-12-16 |
| 1013497916 | Thrive Behavioral Network Iv, LLC | Clinic/Center | 119 Friberg Ave, Suite B, Fergus Falls, MN 56537-2251 | 2018-08-20 |
| 1780186130 | Alliance Wellness Clinic Inc. | Clinic/Center | 8040 Old Cedar Ave. S. Ste. 100, Bloomington, MN 55425-1211 | 2018-03-01 |
| 1447795596 | Conceptual Counseling & Assessment | Clinic/Center | 151 W Burnsville Pkwy Ste 101, Burnsville, MN 55337-2525 | 2016-12-28 |
| 1871035568 | No Other Way (now) Recovery Services LLC | Clinic/Center | 1614 W 3rd St, Red Wing, MN 55066-2086 | 2016-11-11 |
| 1104374073 | Lakes Opioid Treatment Program, Inc | Clinic/Center | 8381 Lake Land Trl Nw, Walker, MN 56484-2109 | 2016-09-20 |
| 1285095778 | Wild River Services | Clinic/Center | 1246 University Ave W Ste 101, Saint Paul, MN 55104-4125 | 2016-03-11 |
| 1184017279 | Alliance Wellness Center LLC | Clinic/Center | 1120 E 80th St Ste 108, Bloomington, MN 55420-1463 | 2015-03-12 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55406 |
Please comment or provide details below to improve the information on SE HOMES RECOVERY INC.
| 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.