Geneva Recovery LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

GENEVA RECOVERY LLC

Practice address

5815 Spring Haven CT
Shoreview, MN 55126-2117

Phone

(651) 500-6134

NPI assigned

Jan 22, 2025

Organization subpart

No

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

Authorized official

Name

Amin Mahamoud

Title

Manager

Phone

(651) 399-9914

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1912719337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 SPRING HAVEN CT",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 SPRING HAVEN CT",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262117",
            "telephone_number": "651-500-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "MAHAMOUD",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "651-399-9914"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.