NPIMap

Organization Active NPI

Roots Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1104309434
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ROOTS RECOVERY
Practice address
393 Dunlap St N Ste 736
Saint Paul, MN 55104-4205
Phone
(612) 289-5656
Fax
(651) 925-0278
NPI assigned
Sep 12, 2018
Organization subpart
Yes
Parent organization
MINNESOTA CAREPARTNERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Justin Scharr
Title
Program Director
Phone
(612) 991-2885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

393 Dunlap St N Ste 736
Saint Paul, MN 55104-4205

Mailing address

393 Dunlap St N Ste 736
Saint Paul, MN 55104-4205
Phone (612) 289-5656

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Carepartner LLC3 organizations share this tax ID, including this one
Part of
Minnesota Carepartner LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1104309434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 736",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044205",
            "telephone_number": "612-289-5656",
            "fax_number": "651-925-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N STE 736",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044205",
            "telephone_number": "612-289-5656",
            "fax_number": "651-925-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINNESOTA CAREPARTNER",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "SCHARR",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "612-991-2885"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.