LATITUDES TREATMENT CENTER LLC
NPI 1487088290
Substance Abuse Rehabilitation Facility in New Brighton, MN

Active since August 28, 2013CLIA 24D2090791 · Waiver
550 MAIN ST STE 230, NEW BRIGHTON, MN 55112(612) 326-7600 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Latitudes Treatment Center Llc NPPES

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

LATITUDES TREATMENT CENTER LLC (NPI 1487088290), doing business as Eosis Latitudes, is a healthcare organization registered as a substance abuse rehabilitation facility in New Brighton, Minnesota and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Lewis P Zeidner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487088290
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLATITUDES TREATMENT CENTER LLC
Location Address550 MAIN ST STE 230New Brighton, MN 55112-3274
Mailing Address1609 Jackson StSaint Paul, MN 55117-3917 · (612) 326-7611
Organization SubpartNo
Authorized OfficialLewis P ZeidnerCeo · (763) 245-8278
Enumeration DateAugust 28, 2013
Last NPPES UpdateFebruary 21, 2025
NPI 1487088290 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 · 1066083
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.
550 MAIN ST STE 230, New Brighton, MN 55112

Other Names 1

Doing Business AsEosis Latitudes

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2090791

Latitudes · Saint Paul, MN
Active · expires Jan 29, 2027
CLIA Number24D2090791
Laboratory TypeTreatment Facility
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorCarson Harris
Laboratory Phone(612) 454-2017
Laboratory LocationLatitudes1609 Jackson Street, Saint Paul, MN 55117
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Latitudes Treatment Center LLC's NPI number?

The NPI number for Latitudes Treatment Center LLC is 1487088290. It was assigned to this organization in the NPPES registry on August 28, 2013. The provider is doing business as Eosis Latitudes.

Where is Latitudes Treatment Center LLC located?

Latitudes Treatment Center LLC is located at 550 Main St Ste 230, New Brighton, MN 55112. The listed phone number is (612) 326-7600.

What is Latitudes Treatment Center LLC's specialty?

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

Does Latitudes Treatment Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2090791) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Latitudes Treatment Center LLC was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.