VIRA DETOX LLC NPI 1255207981

NPI Information

  • NPI: 1255207981
  • Provider Name: VIRA DETOX LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 3855 COON RAPIDS BLVD NW
    COON RAPIDS, MN
    ZIP 55433
  • Phone: (763) 200-6512

Map and Directions

Get Directions

NPI Details

VIRA DETOX LLC is a rehabilitation and substance use disorder clinic center in Coon Rapids, MN. VIRA DETOX LLC NPI is 1255207981. The provider is registered as an organization entity type.

The provider's business location address is:

3855 COON RAPIDS BLVD NW
COON RAPIDS, MN
ZIP 55433-518
Phone: (763) 200-6512

The provider's authorized official is Hoda Bashir .
The authorized official title is Ceo and has the following contact phone number (612) 559-6937.

The enumeration date for this NPI number is 10/10/2025 and was last updated on 11/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI