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

Theresas Home LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1457022501

Theresas Home LLC is a Mental Illness Community Based Residential Treatment Facility in South Saint Paul, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

224 2nd Ave S
South Saint Paul, MN 55075-2346
Phone: (763) 291-4288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1457022501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivian Ogunyemi — Ceo · (763) 291-4288
NPI enumeratedSeptember 27, 2021
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021
Mailing address9985 Austin St Ne, Circle Pines, MN 55014-2412