METRO TREATMENT OF MINNESOTA LP (NPI# 1518173038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518173038 |
| Entity Type | Organization |
| Organization Name | METRO TREATMENT OF MINNESOTA LP |
| Other Organization Name | ROCHESTER METRO TREATMENT CENTER |
| Practice Address |
2360 North Broadway Rochester MN 55906-4065 |
| Mailing Address |
2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 |
| Practice Telephone | 5072820142 |
| Practice Fax Number | 5072826261 |
| Mailing Telephone | 4073517080 |
| Mailing Fax Number | 4073516930 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | MR. RODNEY WILLIAMS (CFO) |
| Authorized Official Telephone | 4073517080 |
| Is Organization Subpart | Y |
| Parent Organization Name | METRO TREATMENT OF MINNESOTA LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
262695-8 | MN | Suppliers |
| Y | 251S00000X | Community/Behavioral Health | 1036501-1-CDT | MN | Agencies |
| Other Name | Type Code |
|---|---|
| Rochester Metro Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215143441 | Metro Treatment of Minnesota Lp | Clinic/Center | 2311 Woodbridge St, Roseville, MN 55113-4710 | 2007-05-15 |
| 1497961759 | Metro Treatment of Minnesota Lp | Clinic/Center | 11939 West River Hills Dr, Burnsville, MN 55337-1354 | 2007-05-15 |
| 1124234653 | Metro Treatment of Minnesota Lp | Community/Behavioral Health | 524 25th Avenue, St Cloud, MN 56303-3255 | 2007-05-14 |
| Street Address |
2360 NORTH BROADWAY |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55906-4065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124534508 | Holly Ann Crandall | Psychologist | 2360 North Broadway, Rochester, MN 55906 | 2017-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472440 | Carole Ellen Jenson | Nurse Practitioner | Rochester Clinic, 3070 Wellner Drive Ne, Rochester, MN 55906 | 2018-10-11 |
| 1760853980 | Sebandy Home Care Services, LLC | Health Maintenance Organization | 2548 Lisa Ln Ne, Rochester, MN 55906 | 2015-10-14 |
| 1538550611 | Rachel Eldersveld | Nurse Practitioner | 716 12th Ave Ne, Rochester, MN 55906 | 2015-02-11 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| 1396177457 | Marjorie Evelyn Murray | Custodial Care Facility | 4501-22nd Ave N.e., Rochester, MN 55906 | 2013-07-31 |
| 1447532411 | Peter M Holm | Dentist | 120 North Broadway Ne, Suite B, Good Samaritan Dental Clinic, Rochester, MN 55906 | 2011-09-15 |
| 1154615193 | Amy Johnson Tremain | Psychologist | 3228 6th Ave Ne Unit B, Rochester, MN 55906 | 2011-06-07 |
| 1235451816 | Connie Krueger | Dental Hygienist | 120 North Broadway, Ne, Suite B, Rochester, MN 55906 | 2010-02-23 |
| 1700115508 | Smn Home Care, LLC | Home Health | 1700 N. Broadway, Suite 114, Rochester, MN 55906 | 2009-12-08 |
| 1528395068 | Ryley D Layden | Chiropractor | 3169 Wellner Dr. Ne, Suite C, Rochester, MN 55906 | 2009-11-04 |
| Find all providers in zip 55906 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439728 | Andrea Brennan Licensed Mental Health Counseling, Pllc | Community/Behavioral Health | 245 Old Meadow Dr, Rochester, NY 14626-3548 | 2020-08-24 |
| 1407475270 | Southwood Psychiatric Hospital, LLC | Community/Behavioral Health | 203-205 Brighton Avenue, Rochester, PA 15074-2161 | 2020-04-13 |
| 1104338284 | Nicole Monta Psychotherapy, Plc | Community/Behavioral Health | 900 W University Dr, Rochester, MI 48307-1817 | 2017-10-30 |
| 1942722079 | Phoenix Psychology Services, Pllc | Community/Behavioral Health | 423 3rd Ave Se Ste 201, Rochester, MN 55904-4897 | 2017-07-11 |
| 1689102246 | Families & Friends of The Mentally Ill | Community/Behavioral Health | 320 N Goodman St, Rochester, NY 14607-1185 | 2017-05-26 |
| 1790221992 | Victory Fitness | Community/Behavioral Health | 52 Depew St, Rochester, NY 14611-2403 | 2017-01-11 |
| 1336681428 | Exercise Express LLC | Community/Behavioral Health | 232 Plymouth Ave S, Rochester, NY 14608-2237 | 2016-11-07 |
| 1457730160 | Maria Nichols | Community/Behavioral Health | 200 Frank Dimino Way Apt 203, Rochester, NY 14624-1188 | 2015-05-27 |
| 1043615586 | Amar Wellness Services, LLC | Community/Behavioral Health | 6556 Clarkia Dr Nw, Rochester, MN 55901-0285 | 2014-10-27 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| Find all providers in ROCHESTER | ||||
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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.