Organization Active NPI

Nurturing House, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1891152039
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1077275 Issued in MN
Legal business name
NURTURING HOUSE, LLC
Practice address
540 Fairview Ave N Ste 303
Saint Paul, MN 55104-1796
Phone
(651) 756-1473
Fax
(651) 756-7224
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Fathia J Warsame
Title
Management Official
Phone
(651) 756-1473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1077275 MN Primary

Addresses

Primary practice location

540 Fairview Ave N Ste 303
Saint Paul, MN 55104-1796

Mailing address

540 Fairview Ave N Ste 303
Saint Paul, MN 55104-1796
Phone (651) 756-1473

National Provider Directory

National Provider Directory

Locations

540 Fairview Ave N
Ste 303
Saint Paul, MN 55104
Phone (347) 677-3941

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1891152039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FAIRVIEW AVE N STE 303",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041796",
            "telephone_number": "651-756-1473",
            "fax_number": "651-756-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 FAIRVIEW AVE N STE 303",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041796",
            "telephone_number": "651-756-1473",
            "fax_number": "651-756-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "WARSAME",
        "authorized_official_first_name": "FATHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGEMENT OFFICIAL",
        "authorized_official_telephone_number": "651-756-1473"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MN",
            "license": "1077275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.