NPIMap

Organization Active NPI

Mend Recovery Services LLC

  • Family Medicine Physician
  • Sartell, MN
National Provider Identifier
1992390561
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEND RECOVERY SERVICES LLC
Doing business as
MEnD Recovery Services LLC
Practice address
1908 Kruchten CT S
Sartell, MN 56377-4645
Phone
(320) 774-1080
Fax
(320) 774-1083
NPI assigned
Mar 5, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Todd Leonard, MDNPI 1740221829
Title
President/ Owner
Phone
(320) 774-1080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X

Addresses

Primary practice location

1908 Kruchten CT S
Sartell, MN 56377-4645

Mailing address

1908 Kruchten CT S
Sartell, MN 56377-4645
Phone (320) 774-1083

Other names 1

  • MEnD Recovery Services LLC Doing business as

National Provider Directory

National Provider Directory

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": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1992390561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 KRUCHTEN CT S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774645",
            "telephone_number": "320-774-1083",
            "fax_number": "320-406-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 KRUCHTEN CT S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774645",
            "telephone_number": "320-774-1080",
            "fax_number": "320-774-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEND RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "320-774-1080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEnD Recovery Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEnD Recovery Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.