Organization Active NPI

Health Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Minneapolis, MN
National Provider Identifier
1790818078
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
801006-2-CDT Issued in MN
Legal business name
HEALTH RECOVERY CENTER
Practice address
3255 Hennepin Ave
Minneapolis, MN 55408-3470
Phone
(612) 827-7800
NPI assigned
Mar 14, 2007
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Joan Mathews Larson
Title
Owner
Phone
(612) 827-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 801006-2-CDT MN Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

3255 Hennepin Ave
Minneapolis, MN 55408-3470

Mailing address

3255 Hennepin Ave
Minneapolis, MN 55408-3470
Phone (612) 827-7800

National Provider Directory

National Provider Directory

Locations

3255 Hennepin Ave
Minneapolis, MN 55408
Phone (612) 353-5639

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1790818078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 HENNEPIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083470",
            "telephone_number": "612-827-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 HENNEPIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083470",
            "telephone_number": "612-827-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "MATHEWS LARSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-827-7800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "801006-2-CDT",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.