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

Transformation House, Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1376950469

Transformation House, Inc is a Substance Abuse Rehabilitation Facility in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
Specialties on file
2
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

361 74th Ave NE
Fridley, MN 55432-3258
Phone: (763) 427-7155
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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 10739571CDT (MN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1376950469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cristian Chiesa — Ceo · (763) 452-7011
NPI enumeratedJuly 21, 2014
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address1410 S Ferry St, Anoka, MN 55303-2152

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