Awaken Recuperative Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AWAKEN RECUPERATIVE CARE LLC

Practice address

847 Griggs St N
Saint Paul, MN 55104-1462

Phone

(612) 876-5236

NPI assigned

Feb 12, 2025

Last updated

Feb 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nimo Sade Afyare

Title

Owner

Phone

(612) 876-5236

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1972318277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 GRIGGS ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041462",
            "telephone_number": "612-876-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 GRIGGS ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041462",
            "telephone_number": "612-876-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN RECUPERATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "AFYARE",
        "authorized_official_first_name": "NIMO",
        "authorized_official_middle_name": "SADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-876-5236"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avanti Medical Group of Minnesota LLC
• Catherine Butler Avery, PH.D.
• Roberto R Avina, LICSW, LMFT
• Dahlia Awais, MD
• Awaken Recovery Center L.L.C
• Ikran Awal
• Aware From Within Therapy
• Rachel Olson Awes, MA, LP
• Salma Awil
• Simona Awiszus, DDS

• Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.