NPIMap

Organization Active NPI

Sharehouse Grand Forks

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Grand Forks, ND
National Provider Identifier
1992462774
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SHAREHOUSE GRAND FORKS
Practice address
1122 N 43Rd St
Grand Forks, ND 58203-1930
Phone
(701) 373-8661
NPI assigned
Nov 29, 2021
Organization subpart
Yes
Parent organization
SHAREHOUSE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Mr. Jeremy Traen, LBSW,LCAC,LADC.MBANPI 1811274038
Title
Ceo/President
Phone
(701) 532-4345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1122 N 43Rd St
Grand Forks, ND 58203-1930

Mailing address

1122 N 43Rd St
Grand Forks, ND 58203-1930

Other names 1

  • Share House, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Sharehouse Genesis5 organizations share this tax ID, including this one
Part of
Sharehouse Genesis

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1122 N 43rd St
Grand Forks, ND 58203
Phone (701) 373-8661

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1992462774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 N 43RD ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582031930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 N 43RD ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582031930",
            "telephone_number": "701-373-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAREHOUSE GRAND FORKS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAREHOUSE, INC.",
        "enumeration_date": "2021-11-29",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "TRAEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "701-532-4345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LBSW,LCAC,LADC.MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Share House, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Share House, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.