PHOENIX RENEWAL TREATMENT SERVICES
NPI 1184475378
Substance Abuse Rehabilitation Facility in Minnetonka, MN

Active since March 27, 2024
12401 MINNETONKA BLVD, MINNETONKA, MN 55305(952) 513-7475(952) 426-3266 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Renewal Treatment Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX RENEWAL TREATMENT SERVICES (NPI 1184475378), doing business as One Twelve Treatment Facility, is a healthcare organization registered as a substance abuse rehabilitation facility in Minnetonka, Minnesota and active in the NPI registry since March 2024. The organization lists Cory Edward Somlai, Director, as its authorized official.

NPPES Registry Identity

NPI1184475378
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePHOENIX RENEWAL TREATMENT SERVICES
Location Address12401 MINNETONKA BLVDMinnetonka, MN 55305-3971
Mailing Address12401 Minnetonka BlvdMinnetonka, MN 55305-3971 · (952) 513-7475 · Fax (952) 426-3266
Fax(952) 426-3266
Organization SubpartNo
Authorized OfficialCory Edward SomlaiDirector · (952) 529-8981
Enumeration DateMarch 27, 2024
Last NPPES UpdateMarch 21, 2026
NPPES CertifiedMarch 21, 2026
NPI 1184475378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
12401 MINNETONKA BLVD, Minnetonka, MN 55305

Other Names 1

Doing Business AsOne Twelve Treatment Facility

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
12401 MINNETONKA BLVD
MINNETONKA, MN 55305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Renewal Treatment Services's NPI number?

The NPI number for Phoenix Renewal Treatment Services is 1184475378. It was assigned to this organization in the NPPES registry on March 27, 2024. The provider is doing business as One Twelve Treatment Facility.

Where is Phoenix Renewal Treatment Services located?

Phoenix Renewal Treatment Services is located at 12401 Minnetonka Blvd, Minnetonka, MN 55305. The listed phone number is (952) 513-7475.

What is Phoenix Renewal Treatment Services's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Phoenix Renewal Treatment Services was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.