NPIMap

Organization Active NPI

South Metro Human Services Dba Radias Health

  • Mental Illness Community Based Residential Treatment Facility
  • Bloomington, MN
National Provider Identifier
1790412641
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH
Practice address
5414 W Old Shakopee Cir
Bloomington, MN 55437-2766
Phone
(952) 888-5611
Fax
(952) 888-3741
NPI assigned
Aug 2, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Terry Michael Schneider
Title
President
Phone
(651) 256-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

5414 W Old Shakopee Cir
Bloomington, MN 55437-2766

Mailing address

166 4TH St E Ste 200
Saint Paul, MN 55101-1667
Phone (651) 291-1979

National Provider Directory

National Provider Directory
Tax ID family
South Metro Human Services Dba Radias Health20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Practitioners & affiliated clinicians

Practitioners 5

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": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1790412641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 4TH ST E STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011667",
            "telephone_number": "651-291-1979",
            "fax_number": "651-291-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 W OLD SHAKOPEE CIR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372766",
            "telephone_number": "952-888-5611",
            "fax_number": "952-888-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-256-1211"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.