Transformation House, Inc.

LBN: Transformation House, Inc.
Transformation House, Inc. is an health care organization with primary practice located at 351 74Th Ave Ne , Fridley MN 55432-3258. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Transformation House, Inc. can be contacted via phone (763) 786-8172, or through Chiesa, Cristian via phone (763) 452-7011.

Contact Information

Primary practice address
351 74Th Ave Ne Fridley MN 55432-3258
Phone: (763) 786-8172
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chiesa, Cristian
Phone: (763) 452-7011

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 807288-3-CDT Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1508081506
LBN Legal business name Transformation House, Inc.
DBA Doing business as
Authorized official Chiesa, Cristian
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Jun 20th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508081506 NPPES
Minnesota Other 268217600 PROVIDER NUMBER

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