Organization Active NPI

Abria Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Burnsville, MN
National Provider Identifier
1861030991
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ABRIA RECOVERY LLC
Practice address
14750 Lac Lavon Dr
Burnsville, MN 55306-6398
Phone
(952) 406-8105
Fax
(952) 446-7273
NPI assigned
Dec 19, 2019
Last updated
Sep 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Mrs. Idman Mohamed
Title
Ceo
Phone
(952) 256-7232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

14750 Lac Lavon Dr
Burnsville, MN 55306-6398

Mailing address

14750 Lac Lavon Dr
Burnsville, MN 55306-6398
Phone (952) 406-8105

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2254981Abria Recovery, LLC14750 Lac Lavon Dr, Burnsville, MN 55306Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory

Locations

14750 Lac Lavon Dr
Burnsville, MN 55306
Phone (612) 562-0561

Practitioners & affiliated clinicians

Practitioners 1

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": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1861030991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 LAC LAVON DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066398",
            "telephone_number": "952-406-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 LAC LAVON DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066398",
            "telephone_number": "952-406-8105",
            "fax_number": "952-446-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRIA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "IDMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-256-7232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.