Services for Homelessness and Addiction Rehab Education

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SERVICES FOR HOMELESSNESS AND ADDICTION REHAB EDUCATION

Practice address

475 Etna St Ste 9
Saint Paul, MN 55106-5845

Phone

(612) 456-4565

Fax

(651) 846-4517

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Mai L Vang

Title

Supervisor

Phone

(612) 456-4565

Specialties & licenses 1

Addresses

Other names 1

• SHARE LLC Doing business as

Locations

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1467214478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 OLD HUDSON RD # A3",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194308",
            "telephone_number": "612-456-4565",
            "fax_number": "651-846-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 ETNA ST STE 9",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065845",
            "telephone_number": "612-456-4565",
            "fax_number": "651-846-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICES FOR HOMELESSNESS AND ADDICTION REHAB EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "612-456-4565"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sernee LLC
• Valeria Serrano Guerrero
• Jean Kristine Sershen, L.P.C.
• Madeline Servais, RD
• Servants of Relief for Incurable Cancer
• McKenzie Sesterhenn, SLP
• Susan Patricia Sethna, LICSW
• Kristy Ann Setnes, PT
• Kristofer Setterstrom
• Ann M Settgast, MD

• Substance Abuse Rehabilitation Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.