Organization Active NPI

Recovery Oasis LLC

  • Clinic/Center
  • Spring Lake Park, MN
National Provider Identifier
1730993643
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RECOVERY OASIS LLC
Practice address
1121 80TH Ave NE
Spring Lake Park, MN 55432-2040
Phone
(206) 504-9191
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Abdulkadir Mohamed Rashid
Title
Owner
Phone
(206) 504-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1121 80TH Ave NE
Spring Lake Park, MN 55432-2040

Mailing address

1121 80TH Ave NE
Spring Lake Park, MN 55432-2040

National Provider Directory

National Provider Directory

Locations

1121 80th Ave NE
Spring Lake Park, MN 55432
Phone (206) 504-9191

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1730993643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 80TH AVE NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 80TH AVE NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322040",
            "telephone_number": "206-504-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY OASIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "ABDULKADIR",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-504-9191"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.