Guidance Treatment Home, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GUIDANCE TREATMENT HOME, LLC

Practice address

8735 Portland Ave S Apt 301
Bloomington, MN 55420-2961

Phone

(952) 594-4467

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Hodan Dualeh

Title

Owner/President

Phone

(952) 594-4467

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1568821940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 PORTLAND AVE S APT 301",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8735 PORTLAND AVE S APT 301",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202961",
            "telephone_number": "952-594-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDANCE TREATMENT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "DUALEH",
        "authorized_official_first_name": "HODAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "952-594-4467"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Grunenwald, D.O
• Peter Charles Grunnet, M.A., L.M.F.T.
• Amanda Hope Qunli Gu, CRNA
• Di Guan, L.AC
• Guardian Transportation Inc
• Quincy Guinadi, LP
• Kirsten M Gulden, PHARMD
• Nasri Guled
• Jabir Abdirahman Gulet
• Stephanie Carolyn Gullickson

• Substance Abuse Rehabilitation Facility in Bloomington, MN
• Providers in Bloomington, 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 Feb 15, 2016; 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.