Irreplaceable Sober House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

IRREPLACEABLE SOBER HOUSE

Practice address

1144 Atwood St S
Shakopee, MN 55379-2460

Phone

(612) 426-1428

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Fardowsa Dahir

Title

Owner

Phone

(952) 261-6896

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1992572937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 ATWOOD ST S",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792460",
            "telephone_number": "612-426-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 ATWOOD ST S",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792460",
            "telephone_number": "612-426-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRREPLACEABLE SOBER HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-09",
        "status": "A",
        "authorized_official_last_name": "DAHIR",
        "authorized_official_first_name": "FARDOWSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-261-6896"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.