Organization Active NPI

Crecer Services

  • Substance Abuse Rehabilitation Facility
  • Saint Paul, MN
National Provider Identifier
1730791393
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CRECER SERVICES
Doing business as
Crecer Services
Practice address
220 Robert St S Ste 103
Saint Paul, MN 55107-1626
Phone
(612) 387-9062
NPI assigned
Aug 17, 2020
Last updated
Aug 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Elizabeth Elida Burgos, LICSWNPI 1619413606
Title
Director
Phone
(612) 387-9062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

220 Robert St S Ste 103
Saint Paul, MN 55107-1626

Mailing address

3300 Mumford Rd
Brooklyn Center, MN 55429-2658
Phone (612) 387-9062

Other names 1

  • Crecer Services Doing business as

National Provider Directory

National Provider Directory

Locations

220 Robert St S
Ste 103
Saint Paul, MN 55107
Phone (612) 387-9062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1730791393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 MUMFORD RD",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292658",
            "telephone_number": "612-387-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ROBERT ST S STE 103",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071626",
            "telephone_number": "612-387-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRECER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ELIDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-387-9062",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crecer Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.