Organization Active NPI

Step One Recovery LLC

  • Recovery Care Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1326806829
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
STEP ONE RECOVERY LLC
Practice address
2833 13TH Ave S # 223
Minneapolis, MN 55407-1417
Phone
(612) 405-0790
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Moad Mohamed
Title
Co-Owner
Phone
(612) 461-5487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

2833 13TH Ave S # 223
Minneapolis, MN 55407-1417

Mailing address

2722 Portland Ave
Minneapolis, MN 55407-1013
Phone (612) 461-5487

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1326806829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071013",
            "telephone_number": "612-461-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 13TH AVE S # 223",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071417",
            "telephone_number": "612-405-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP ONE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MOAD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-461-5487"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 8, 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.