Organization Active NPI

Heritage Sober Houses

  • Lodging Provider
  • Minneapolis, MN
National Provider Identifier
1578423828
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
HERITAGE SOBER HOUSES
Practice address
122 W Franklin Ave Ste 510
Minneapolis, MN 55404-2454
Phone
(612) 300-3938
NPI assigned
Nov 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Ms. Peg Kinda
Title
Credentialing Manager
Phone
(612) 306-8499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary

Addresses

Primary practice location

122 W Franklin Ave Ste 510
Minneapolis, MN 55404-2454

Mailing address

122 W Franklin Ave Ste 510
Minneapolis, MN 55404-2454

National Provider Directory

National Provider Directory

Locations

122 W Franklin Ave
Ste 510
Minneapolis, MN 55404
Phone (612) 871-3759

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1578423828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W FRANKLIN AVE STE 510",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W FRANKLIN AVE STE 510",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042454",
            "telephone_number": "612-300-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE SOBER HOUSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "KINDA",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "612-306-8499",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "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 Nov 17, 2025; 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.