Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prodigal House Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1316016884

Prodigal House Inc is a Substance Abuse Rehabilitation Facility in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5103 Minnehaha Ave Bldg 16
Minneapolis, MN 55417-1647
Phone: (612) 721-3358
Fax: (612) 721-2619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 801974 (MN)

Record details

NPI number1316016884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amelia Grein — Executive Director · (612) 721-8556
NPI enumeratedNovember 7, 2006
Last updated in NPPESJune 19, 2008
Mailing address5103 Minnehaha Ave Bldg 16, Minneapolis, MN 55417-1647

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