NPIMap

Organization Active NPI

Capital Health Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Golden Valley, MN
National Provider Identifier
1669943908
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CAPITAL HEALTH SERVICES LLC
Practice address
680 Mendelssohn Ave N
Golden Valley, MN 55427-4306
Phone
(651) 795-1589
NPI assigned
Dec 16, 2018
Organization subpart
Yes
Parent organization
CAPITAL HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Mohamed Farah
Title
Owner
Phone
(612) 795-1589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

680 Mendelssohn Ave N
Golden Valley, MN 55427-4306

Mailing address

680 Mendelssohn Ave N
Golden Valley, MN 55427-4306
Phone (651) 795-1589

Other names 1

  • Capital Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capital Health Services LLC2 organizations share this tax ID, including this one
Part of
Capital Health Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

680 Mendelssohn Ave N
Golden Valley, MN 55427
Phone (651) 795-1589

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1669943908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 MENDELSSOHN AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274306",
            "telephone_number": "651-795-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 MENDELSSOHN AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274306",
            "telephone_number": "651-795-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITAL HEALTH SERVICES LLC",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-795-1589"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.