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TAPESTRY
NPI 1558652925
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Saint Paul, MN

Active since April 20, 2011CLIA 24D2015705 · Waiver
135 COLORADO ST E, SAINT PAUL, MN 55107(651) 454-2323 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tapestry NPPES

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

TAPESTRY (NPI 1558652925) is a healthcare organization registered as a substance abuse treatment, children in Saint Paul, Minnesota and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Connie Bombenger, Director, as its authorized official.

NPPES Registry Identity

NPI1558652925
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameTAPESTRY
Location Address135 COLORADO ST ESaint Paul, MN 55107-2244
Mailing Address135 Colorado St ESaint Paul, MN 55107-2244 · (651) 454-2323
Phone(651) 454-2323
Organization SubpartNo
Authorized OfficialConnie BombengerDirector · (651) 489-7740
Enumeration DateApril 20, 2011
✔ NPI 1558652925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License✔ Licensed in MN · 301767
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
135 COLORADO ST E, Saint Paul, MN 55107
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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 24D2015705

Tapestry Dba Eosis Tapestry · Saint Paul, MN
Active · expires Nov 1, 2026
CLIA Number24D2015705
Laboratory TypeSud Treatment Facility
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorEmily Brunner
Laboratory Phone(651) 454-5000
Laboratory LocationTapestry Dba Eosis Tapestry135 Colorado Street E, Saint Paul, MN 55107
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MS. ANDREA SUSAN KOFOED LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 454-3353
MS. SEIKA NOGUCHI CHARPENTIER MA,LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (651) 489-7740
SHANNON D SWARTHOUT LADC
Substance Abuse Rehabilitation Facility
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 454-2131
KATHERINE LUTTRULL LPCC, LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 454-2342
MS. LAURA POHLMAN B.A., LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 454-2354
MS. MARY LARISSA GORMAN MA, LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (651) 489-7740
MS. TERRY ROSE KATUSKY LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (651) 489-7740
MS. CONNIE LOU BINGEL BOMBENGER LADC
Counselor (Addiction (Substance Use Disorder))
135 COLORADO ST E
SAINT PAUL, MN 55107
Ramsey County (612) 916-4878

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 Tapestry's NPI number?

The NPI number for Tapestry is 1558652925. It was assigned to this organization in the NPPES registry on April 20, 2011.

Where is Tapestry located?

Tapestry is located at 135 Colorado St E, Saint Paul, MN 55107. The listed phone number is (651) 454-2323.

What is Tapestry's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does Tapestry hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2015705) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tapestry was last updated on April 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.