TRANSFORMATION HOUSE, INC.
NPI 1508081506
Substance Abuse Rehabilitation Facility in Fridley, MN

Active since April 16, 2007
351 74TH AVE NE, FRIDLEY, MN 55432(763) 786-8172 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Transformation House, Inc. NPPES

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

TRANSFORMATION HOUSE, INC. (NPI 1508081506) is a healthcare organization registered as a substance abuse rehabilitation facility in Fridley, Minnesota and active in the NPI registry since April 2007. The organization lists Cristian Chiesa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508081506
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTRANSFORMATION HOUSE, INC.
Location Address351 74TH AVE NEFridley, MN 55432-3258
Mailing Address1410 S Ferry RdAnoka, MN 55303-2164 · (763) 427-7155
Organization SubpartNo
Authorized OfficialCristian ChiesaCeo · (763) 452-7011
Enumeration DateApril 16, 2007
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1508081506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in MN · 807288-3-CDT
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.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
351 74TH AVE NE, Fridley, MN 55432

Other Identifiers 1

Other268217600MN · Provider Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508081506, enumerated as an "organization" on April 16, 2007.

The provider is located at 351 74TH AVE NE FRIDLEY, MN 55432 and the phone number is (763) 786-8172.

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.