TRANSFORM LIVES LLC
NPI 1790501872
Clinic/Center - Rehabilitation, Substance Use Disorder in Fridley, MN

Q: What is Transform Lives LLC's NPI number?

The NPI number for Transform Lives LLC is 1790501872. It was assigned to this organization in the NPPES registry on November 23, 2024.

Q: What is Transform Lives LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since November 23, 2024

1250 MOORE LAKE DR E STE 150, FRIDLEY, MN 55432(763) 203-4974 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 9, 2025, Nov 23, 2024 (2 updates tracked since 2024).

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About Transform Lives Llc NPPES

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

TRANSFORM LIVES LLC (NPI 1790501872) is a healthcare organization registered as a rehabilitation, substance use disorder in Fridley, Minnesota and active in the NPI registry since November 2024. The organization lists Yusuf A Mohamed, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1790501872

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameTRANSFORM LIVES LLC

Location Address1250 MOORE LAKE DR E STE 150Fridley, MN 55432-5135

Mailing Address1250 Moore Lake Dr E Ste 150Fridley, MN 55432-5135 · (763) 203-4974

Phone(763) 203-4974

Organization SubpartNo

Authorized OfficialYusuf A MohamedCeo/owner · (763) 203-4974

Enumeration DateNovember 23, 2024

Last NPPES UpdateApril 9, 20252 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1790501872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

1250 MOORE LAKE DR E STE 150, Fridley, MN 55432

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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 Transform Lives LLC's NPI number?

The NPI number for Transform Lives LLC is 1790501872. It was assigned to this organization in the NPPES registry on November 23, 2024.

Where is Transform Lives LLC located?

Transform Lives LLC is located at 1250 Moore Lake Dr E Ste 150, Fridley, MN 55432. The listed phone number is (763) 203-4974.

What is Transform Lives LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Transform Lives LLC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.