Advance Recovery LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

ADVANCE RECOVERY LLC

Practice address

1935 County Road B2 W Ste 401
Saint Paul, MN 55113-2795

Phone

(612) 806-2219

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Safia Said Daud, RN, ADC-T

Title

Owner

Phone

(612) 806-2219

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1235866930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W STE 401",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551132795",
            "telephone_number": "612-806-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W STE 401",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551132795",
            "telephone_number": "612-806-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "DAUD",
        "authorized_official_first_name": "SAFIA",
        "authorized_official_middle_name": "SAID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-806-2219",
        "authorized_official_credential": "RN, ADC-T"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.