Organization Active NPI

Transitions Homes Corporation

  • Substance Abuse Rehabilitation Facility
  • St. Paul, MN
National Provider Identifier
1992037535
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1055581 Issued in MN
Legal business name
TRANSITIONS HOMES CORPORATION
Practice address
366 Prior Street
Suite #205
St. Paul, MN 55104
Phone
(651) 644-1304
Fax
(888) 239-3133
NPI assigned
Feb 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Mr. Michael Jerry Mugaas
Title
Executive Director
Phone
(612) 819-7207

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Abuse Rehabilitation Facility 324500000X 1055581 MN Primary

Addresses

Primary practice location

366 Prior Street
Suite #205
St. Paul, MN 55104

Mailing address

1450 N Willow Dr
Long Lake, MN 55356-9568
Phone (612) 819-7207

Other names 1

  • Transitions Outpatient Program Doing business as

National Provider Directory

National Provider Directory

Locations

366 Prior Ave N
Ste 205
Saint Paul, MN 55104
Phone (651) 644-1304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1992037535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N WILLOW DR",
            "city": "LONG LAKE",
            "state": "MN",
            "postal_code": "553569568",
            "telephone_number": "612-819-7207",
            "fax_number": "888-239-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 PRIOR STREET",
            "address_2": "SUITE #205",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-644-1304",
            "fax_number": "888-239-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONS HOMES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "MUGAAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-819-7207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1055581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transitions Outpatient Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.