Ethos Recovery Clinic, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

ETHOS RECOVERY CLINIC, INC.

Practice address

3805 Washington Ave N
Minneapolis, MN 55412-2141

Phone

(612) 670-7769

NPI assigned

Jan 30, 2023

Organization subpart

Yes

Parent organization

ETHOS RECOVERY CLINIC, INC.As reported in NPPES

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

Authorized official

Name

Charles Hilger

Title

Ceo

Phone

(612) 670-7769

Specialties & licenses 1

Addresses

Tax ID family

Ethos Recovery Clinic Inc2 organizations share this tax ID, including this one

Part of

Ethos Recovery Clinic Inc

Other organizations with this tax ID 1

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

• Ethos Recovery Clinic, Inc.

  • Methadone Clinic
  • Spring Lake Park, MN
  • NPI 1033821848
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ethos Recovery Clinic, Inc.

  • Methadone Clinic
  • Spring Lake Park, MN
  • NPI 1033821848
  NPPES parent name

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1255047650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 WASHINGTON AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122141",
            "telephone_number": "612-670-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 WASHINGTON AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122141",
            "telephone_number": "612-670-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS RECOVERY CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ETHOS RECOVERY CLINIC, INC.",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-670-7769"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison J Estrada, MD
• Elizabeth Estrada
• Tammy J Estrem, PA-C
• Jeffrey I Estrin, PAC
• Agnes Mamonee Etete
• Linda Joyce Etim, LICSW
• Mary Ann Etling, MD, MPH
• Roger Ettel, DDS, MS
• Emily Joanne Etter
• Etude LLC

• Methadone Clinic in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Methadone Clinic in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.