NURTURING HOUSE, LLC


Address: 540 Fairview Ave N Ste 303, Saint Paul, MN 55104-1796
Phone: 6517561473

NURTURING HOUSE, LLC (NPI# 1891152039) 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) 1891152039
Entity Type Organization
Organization Name NURTURING HOUSE, LLC
Practice Address 540 Fairview Ave N Ste 303
Saint Paul
MN 55104-1796
Practice Telephone 6517561473
Practice Fax Number 6517567224
Mailing Telephone 6517561473
Mailing Fax Number 6517567224
Enumeration Date 2016-01-19
Last Update Date 2019-01-03
Authorized Official Name FATHIA J WARSAME (MANAGEMENT OFFICIAL)
Authorized Official Telephone 6517561473
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
1077275 MN Ambulatory Health Care Facilities

Office Location

Street Address 540 FAIRVIEW AVE N STE 303
City SAINT PAUL
State MN
Zip Code 55104-1796

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1265944672 Megan Manning Marriage & Family Therapist 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 2017-10-26
1801305131 Foncham Buma Foncham Registered Nurse 856 University Avenue, W, St. Paul, MN 55104 2017-09-29
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1104309434 Roots Recovery Clinic/Center 393 Dunlap St N Ste 736, Saint Paul, MN 55104-4205 2018-09-12
1730696857 Brenda A Nelson Clinic/Center 220 Robert St S Ste 104, Saint Paul, MN 55107-1626 2018-01-10
1821504937 New Way Treatment Center LLC Clinic/Center 220 Robert St S Ste 104, Saint Paul, MN 55107-1626 2017-12-27
1033655329 Elite Recovery Clinic/Center 1145 Grand Ave, Saint Paul, MN 55105-2629 2017-01-11
1164737326 Community Addiction Recovery Enterprise- Clinic/Center 444 Lafayette Rd N, Saint Paul, MN 55155-3802 2010-08-12
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1669943908 Capital Health Services LLC Clinic/Center 680 Mendelssohn Ave N, Golden Valley, MN 55427-4306 2018-12-16
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1780186130 Alliance Wellness Clinic Inc. Clinic/Center 8040 Old Cedar Ave. S. Ste. 100, Bloomington, MN 55425-1211 2018-03-01
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1871035568 No Other Way (now) Recovery Services LLC Clinic/Center 1614 W 3rd St, Red Wing, MN 55066-2086 2016-11-11
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Competitor

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City SAINT PAUL
Zip Code 55104

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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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