Transformation House, Inc. in Anoka - Substance Abuse Rehabilitation Facility
Transformation House, Inc. - NPI 1770708125
Transformation House, Inc. is a Substance Abuse Rehabilitation Facility in Anoka, Minnesota. Transformation House, Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Transformation House, Inc. is 1770708125. The last update date is 2023-06-20.
Transformation House, Inc.'s current location address is 1410 S Ferry Rd, Anoka, Minnesota. You can contact this provider via phone number 7634277155 and fax number 7634276084. The mailing address for Transformation House, Inc. is 1410 S Ferry Rd, Anoka, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Transformation House, Inc. |
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Address | 1410 S Ferry Rd, Anoka, Minnesota |
Phone Number | 7634277155 |
Fax Number | 7634276084 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Chiesa Cristian |
Telephone Number | 7634527011 |
NPI Number Detail
NPI Number | 1770708125 |
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Provider Enumeration Date | 2007-04-13 |
Last Updated Date | 2023-06-20 |
Provider Mailing Address Detail
Address | 1410 S Ferry Rd |
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City | Anoka |
State | Minnesota (MN) |
Post Code | 553032164 |
Phone Number | 7634277155 |
Fax Number | 7634276084 |
Provider's Primary Taxonomy Detail
Speciality | Substance Abuse Rehabilitation Facility |
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Taxonomy | 324500000X |
Licence No | 803826-1-CDT |
Definition: 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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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719055700 | MN | MHCP PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Transformation House, Inc. by the Centers for Medicare & Medicaid Services?
The Transformation House, Inc. has been assigned the NPI (National Provider Identifier) 1770708125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Transformation House, Inc.?
The Transformation House, Inc. is situated at 1410 S Ferry Rd, in the city of Anoka, state of MN, with the zip code 553032164.
What is the Transformation House, Inc.'s specialty and taxonomy code?
The Transformation House, Inc.'s specialty is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code is 324500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770708125 to Transformation House, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1770708125 to Transformation House, Inc. on 2007-04-13.
As of what date was the information pertaining to Transformation House, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Transformation House, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-20.