Faith Family Recovery Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

FAITH FAMILY RECOVERY CENTER LLC

Practice address

1303 S Frontage Rd Ste 11
Hastings, MN 55033-2478

Phone

(651) 437-1628

Fax

(651) 437-4165

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pam Marie Schmitt, LADC BCC

Title

Treatment Director Owner

Phone

(651) 437-1628

Specialties & licenses 1

Addresses

Tax ID family

Faith Family Recovery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Faith Family Recovery Center of Maple Grove

  • Substance Abuse Rehabilitation Facility
  • Maple Grove, MN
  • NPI 1760889851
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Faith Family Recovery Center of Maple Grove

  • Substance Abuse Rehabilitation Facility
  • Maple Grove, MN
  • NPI 1760889851
  NPPES parent name

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336264076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 S FRONTAGE RD STE 11",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332478",
            "telephone_number": "651-437-1628",
            "fax_number": "651-437-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S FRONTAGE RD STE 11",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550332478",
            "telephone_number": "651-437-1628",
            "fax_number": "651-437-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FAMILY RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "TREATMENT DIRECTOR OWNER",
        "authorized_official_telephone_number": "651-437-1628",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LADC BCC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Ekman, PHARMD
• Andrea Eliason, PT, DPT
• Lawrence G. Erickson, M.D.
• Kayleigh Esther Erwin
• Jeremiah Douglas Fairbanks, DO
• Jean A Falkavage, AU D
• Angela Carol Faulkner, M.D.
• Christopher Lee Fehl, LADC
• Bradley Allen Fern, MA
• Stephanie Flom

• Substance Use Disorder Rehabilitation Clinic/Center in Hastings, MN
• Providers in Hastings, MN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.