Restorecare

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

RESTORECARE

Doing business as

LLC

Practice address

1965 County Road E W
Saint Paul, MN 55112-7145

Phone

(612) 703-7465

NPI assigned

Mar 3, 2025

Organization subpart

No

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

Authorized official

Name

Bahjo H Mahamud, LICSWNPI 1255897161

Title

Owner

Phone

(612) 703-7465

Specialties & licenses 1

Addresses

Other names 1

• LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bahjo Hussein Mahamud, LICSW

  • Clinical Social Worker
  • St Anthony, MN
  • NPI 1255897161
  NPD Authorized official

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1760289292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 COUNTY ROAD E W",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127145",
            "telephone_number": "612-703-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 COUNTY ROAD E W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551127145",
            "telephone_number": "612-703-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "MAHAMUD",
        "authorized_official_first_name": "BAHJO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-703-7465",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hayley Retaskie
• Amdemichael Retta
• Adam Retterath, MA, LMFT

• Recovery Care Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Recovery Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.