Tapestry Treatment Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

830536-5-CDT Issued in MN

Legal business name

TAPESTRY TREATMENT CENTER LLC

Doing business as

Eosis Tapestry

Practice address

135 Colorado Street East
St Paul, MN 55107

Phone

(651) 489-7740

Fax

(651) 489-6458

NPI assigned

Mar 15, 2007

Organization subpart

Yes

Parent organization

MERIDIAN BEHAVIORAL HEALTHAs reported in NPPES

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

Authorized official

Name

Lewis P Zeidner, PHD

Title

Ceo

Phone

(763) 245-8278

Specialties & licenses 4

Addresses

Other names 1

• Eosis Tapestry Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Eosis Tapestry2 organizations share this tax ID, including this one

Part of

Alliance Clinic

Other organizations with this tax ID 1

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

• Tapestry

  • Children's Substance Abuse Rehabilitation Facility
  • Saint Paul, MN
  • NPI 1558652925
  NPD tax ID

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1780718189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAIN STREET",
            "address_2": "SUITE 230",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "612-326-7600",
            "fax_number": "651-631-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COLORADO STREET EAST",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55107",
            "telephone_number": "651-489-7740",
            "fax_number": "651-489-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY TREATMENT CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN BEHAVIORAL HEALTH",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "ZEIDNER",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-245-8278",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "830536",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "830536-4-CDT",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "802564-2-CDT",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "830536-5-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eosis Tapestry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aboubacar Tanimoune
• Connie Tanner
• Lynn Tanner, PHD, PT
• Pius Awandem Tanyifor
• Tapestry
• Tapestry, LLC
• Alexandra T. Tarabochia-Gast, MD
• Maryna Tarbunova, M.D.
• Target Clinic
• Marie Jean C Tarum, CRNA

• Substance Abuse Rehabilitation Facility in St Paul, MN
• Providers in St Paul, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.