NBH JACKSON ST LLC
NPI 1962379933
Substance Abuse Rehabilitation Facility in Saint Paul, MN

Q: What is Nbh Jackson St LLC's NPI number?

The NPI number for Nbh Jackson St LLC is 1962379933. It was assigned to this organization in the NPPES registry on October 22, 2025.

Q: What is Nbh Jackson St LLC's specialty?

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

Active since October 22, 2025

1609 JACKSON ST, SAINT PAUL, MN 55117(651) 487-4987 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nbh Jackson St Llc NPPES

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

NBH JACKSON ST LLC (NPI 1962379933) is a healthcare organization registered as a substance abuse rehabilitation facility in Saint Paul, Minnesota and active in the NPI registry since October 2025. The organization lists Mark Weldler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962379933

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameNBH JACKSON ST LLC

Location Address1609 JACKSON STSaint Paul, MN 55117-3917

Mailing Address2345 Ariel St NMaplewood, MN 55109-2248

Phone(651) 487-4987

Organization SubpartNo

Authorized OfficialMark WeldlerCeo · (773) 919-9351

Enumeration DateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1962379933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

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.

1609 JACKSON ST, Saint Paul, MN 55117

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Other Providers at the Same Location NPPES 2

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

MR. ERIC THOMAS CLEMENSEN BS, LADC, BCC

Counselor (Addiction (Substance Use Disorder))

1609 JACKSON ST
SAINT PAUL, MN 55117

Ramsey County (612) 326-7614

TAPESTRY, LLC

Substance Abuse Rehabilitation Facility

1609 JACKSON ST
SAINT PAUL, MN 55117

Ramsey County (612) 326-7555

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 Nbh Jackson St LLC's NPI number?

The NPI number for Nbh Jackson St LLC is 1962379933. It was assigned to this organization in the NPPES registry on October 22, 2025.

Where is Nbh Jackson St LLC located?

Nbh Jackson St LLC is located at 1609 Jackson St, Saint Paul, MN 55117. The listed phone number is (651) 487-4987.

What is Nbh Jackson St LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nbh Jackson St LLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.