Organization Active NPI

Optimum Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • Minneapolis, MN
National Provider Identifier
1063232643
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
OPTIMUM RECOVERY SERVICES
Doing business as
N/A
Practice address
2940 36TH Ave S
Minneapolis, MN 55406-1716
Phone
(612) 423-0012
Fax
(651) 372-8781
NPI assigned
Oct 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ziad Rashid Oumer
Title
Owner
Phone
(612) 423-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2940 36TH Ave S
Minneapolis, MN 55406-1716

Mailing address

2940 36TH Ave S
Minneapolis, MN 55406-1716
Phone (612) 423-0012

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory

Locations

2940 36th Ave S
Minneapolis, MN 55406
Phone (612) 423-0012

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1063232643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 36TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061716",
            "telephone_number": "612-423-0012",
            "fax_number": "651-372-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 36TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061716",
            "telephone_number": "612-423-0012",
            "fax_number": "651-372-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "OUMER",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_middle_name": "RASHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-423-0012"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.