TRANSFORMATION HOUSE, INC.
NPI 1114143989
Substance Abuse Rehabilitation Facility in Anoka, MN
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
- CLIA Number: 24D2184066
- CLIA Cert. Type: Other - SUBSTANCE ABUSE TREATMENT
- CLIA Exp. Date: 05-13-2028
About TRANSFORMATION HOUSE, INC.
This page provides the complete NPI Profile along with additional information for Transformation House, Inc., a provider established in Anoka, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1114143989 assigned on April 2007. The practitioner's primary taxonomy code is 324500000X with license number 804982-1-CDT (MN). The provider is registered as an organization and their NPI record was last updated 3 years ago. Transformation House, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Cristian J Chiesa (Owner)
- NPI
- 1114143989 Verify this NPI
- Provider Name
- TRANSFORMATION HOUSE, INC.
- Entity Type
- Organization
- Location Address
- 2532 N FERRY ST ANOKA, MN 55303
- Location Phone
- (763) 421-4665
- Mailing Address
- 1410 S FERRY RD ANOKA, MN 55303
- Mailing Phone
- (763) 427-7155
- Mailing Fax
- (763) 427-6084
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-18-2007
- Last Update Date
- 06-20-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 804982-1-CDT
- License State
- MN
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,300 Gold - PPO
- Atlas $2,000 Standard Gold - PPO
- Atlas $3,050 Plus Silver - PPO
- Atlas $3,800 HSA Silver - PPO
- Atlas $6,000 Standard Silver - PPO
- Atlas $6,800 Plus Bronze HSA - PPO
- Atlas $7,500 Standard Bronze HSA - PPO
- Atlas $8,400 HSA Bronze - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300357400 | OTHER (01) | MN | PROVIDER NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2184066
- Facility Type
- Other - SUBSTANCE ABUSE TREATMENT
- Certificate Effective Date
- May 14, 2026
- Certificate Expiration Date
- May 13, 2028
- Laboratory Director
- CRISTIAN CHIESA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Transformation House, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for TRANSFORMATION HOUSE, INC.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
ANOKA, MN 55303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114143989, enumerated as an "organization" on April 18, 2007.
The provider is located at 2532 N FERRY ST ANOKA, MN 55303 and the phone number is (763) 421-4665.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
The provider might be accepting Accepts: HealthPartners, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
