TRANSFORMATION HOUSE INC. NPI 1376950469

NPI Information

  • NPI: 1376950469
  • Provider Name: TRANSFORMATION HOUSE, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 361 74TH AVE NE
    FRIDLEY, MN
    ZIP 55432
  • Phone: (763) 427-7155

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NPI Details

TRANSFORMATION HOUSE, INC. is a substance abuse rehabilitation facility in Fridley, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. TRANSFORMATION HOUSE, INC. NPI is 1376950469. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

361 74TH AVE NE
FRIDLEY, MN
ZIP 55432-258
Phone: (763) 427-7155

The provider's authorized official is Cristian Chiesa .
The authorized official title is Ceo and has the following contact phone number (763) 452-7011.

The enumeration date for this NPI number is 7/21/2014 and was last updated on 2/28/2024.

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
1363LA2200XNurse PractitionerAdult HealthNo
2324500000XSubstance Abuse Rehabilitation Facility10739571CDTMINNESOTAYes

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

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