Organization Active NPI

Minnesota Recuperative Care LLC

  • Recovery Care Clinic/Center
  • Plymouth, MN
National Provider Identifier
1851150825
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
MINNESOTA RECUPERATIVE CARE LLC
Practice address
16600 40TH Ave N
Plymouth, MN 55446-2687
Phone
(763) 443-2112
NPI assigned
Mar 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Sudhir K Singh
Title
Owner
Phone
(176) 344-3211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

16600 40TH Ave N
Plymouth, MN 55446-2687

Mailing address

1113 E Franklin Ave Ste 119
Minneapolis, MN 55404-2982
Phone (763) 443-2112

National Provider Directory

National Provider Directory

Locations

1113 E Franklin Ave
Ste 119
Minneapolis, MN 55404

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1851150825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E FRANKLIN AVE STE 119",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042982",
            "telephone_number": "763-443-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 40TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462687",
            "telephone_number": "763-443-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA RECUPERATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "176-344-3211"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.