Organization Active NPI

Benevolent Recuperative LLC

  • Recovery Care Clinic/Center
  • Cottage Grove, MN
National Provider Identifier
1609763507
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
BENEVOLENT RECUPERATIVE LLC
Practice address
7825 Irish Ave S
Cottage Grove, MN 55016-2073
Phone
(612) 209-3149
NPI assigned
Jun 23, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Nabila Mohamed
Title
Owner
Phone
(612) 209-3149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

7825 Irish Ave S
Cottage Grove, MN 55016-2073

Mailing address

7825 Irish Ave S
Cottage Grove, MN 55016-2073

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1609763507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 IRISH AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 IRISH AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162073",
            "telephone_number": "612-209-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT RECUPERATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "NABILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-209-3149"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.