Organization Active NPI

Vira Recovery Residential Services

  • Substance Abuse Rehabilitation Facility
  • Coon Rapids, MN
National Provider Identifier
1598679003
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
VIRA RECOVERY RESIDENTIAL SERVICES
Practice address
13048 Jay St NW
Coon Rapids, MN 55448-7015
Phone
(763) 200-6512
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Hoda Bashir
Title
Program Director
Phone
(763) 200-6512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

13048 Jay St NW
Coon Rapids, MN 55448-7015

Mailing address

34 13TH Ave NE
Minneapolis, MN 55413-1002
Phone (763) 200-6512

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1598679003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 13TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131002",
            "telephone_number": "763-200-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13048 JAY ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554487015",
            "telephone_number": "763-200-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRA RECOVERY RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "HODA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "763-200-6512"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.