DBA ONE TWELVE
NPI 1366866907
Substance Abuse Rehabilitation Facility in Minnetonka, MN

Q: What is West Side Sober Living's NPI number?

The NPI number for West Side Sober Living is 1366866907. It was assigned to this organization in the NPPES registry on February 18, 2014. The provider is doing business as Dba One Twelve.

Q: What is West Side Sober Living's specialty?

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

Active since February 18, 2014

12218 LAKE STREET EXT, MINNETONKA, MN 55305(952) 513-7475 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dba One Twelve NPPES

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

DBA ONE TWELVE (NPI 1366866907) is a healthcare organization registered as a substance abuse rehabilitation facility in Minnetonka, Minnesota and active in the NPI registry since February 2014. The organization lists Michael Clifton Holmes, Owner, as its authorized official.

NPPES Registry Identity

NPI1366866907

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameWEST SIDE SOBER LIVING

Location Address12218 LAKE STREET EXTMinnetonka, MN 55305-5172

Mailing Address12218 Lake Street ExtMinnetonka, MN 55305-5172 · (952) 513-7475

Phone(952) 513-7475

Organization SubpartNo

Authorized OfficialMichael Clifton HolmesOwner · (952) 513-7475

Enumeration DateFebruary 18, 2014

✔ NPI 1366866907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in MN · 1066522

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.

12218 LAKE STREET EXT, Minnetonka, MN 55305

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Other Names 1

Doing Business AsDba One Twelve

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 West Side Sober Living's NPI number?

The NPI number for West Side Sober Living is 1366866907. It was assigned to this organization in the NPPES registry on February 18, 2014. The provider is doing business as Dba One Twelve.

Where is West Side Sober Living located?

West Side Sober Living is located at 12218 Lake Street Ext, Minnetonka, MN 55305. The listed phone number is (952) 513-7475.

What is West Side Sober Living'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 West Side Sober Living was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.