SHERBURNE RECOVERY SERVICES LLC
NPI 1497610216
Community Based Residential Treatment Facility, Mental Illness in Saint Paul, MN

Active since December 23, 2025
418 SHERBURNE AVE, SAINT PAUL, MN 55103(612) 819-4966 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2025, Dec 23, 2025 (2 updates tracked since 2025).

About Sherburne Recovery Services Llc NPPES

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

SHERBURNE RECOVERY SERVICES LLC (NPI 1497610216) is a healthcare organization registered as a community based residential treatment facility, mental illness in Saint Paul, Minnesota and active in the NPI registry since December 2025. The organization lists Abdirihaman Ahmed Qadi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497610216
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSHERBURNE RECOVERY SERVICES LLC
Location Address418 SHERBURNE AVESaint Paul, MN 55103-1941
Mailing Address3757 Foss RdMinneapolis, MN 55421-4513 · (612) 819-4966
Organization SubpartNo
Authorized OfficialAbdirihaman Ahmed QadiCeo · (763) 647-8161
Enumeration DateDecember 23, 2025
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1497610216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
418 SHERBURNE AVE, Saint Paul, MN 55103

Other Providers at the Same Location NPPES

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

Home Health
418 SHERBURNE AVE
SAINT PAUL, MN 55103

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 Sherburne Recovery Services LLC's NPI number?

The NPI number for Sherburne Recovery Services LLC is 1497610216. It was assigned to this organization in the NPPES registry on December 23, 2025.

Where is Sherburne Recovery Services LLC located?

Sherburne Recovery Services LLC is located at 418 Sherburne Ave, Saint Paul, MN 55103. The listed phone number is (612) 819-4966.

What is Sherburne Recovery Services LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Sherburne Recovery Services LLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.