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 1508081506

Transformation House, Inc is a Substance Abuse Rehabilitation Facility in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
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

351 74th Ave NE
Fridley, MN 55432-3258
Phone: (763) 786-8172
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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 807288-3-CDT (MN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1508081506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cristian Chiesa — Ceo · (763) 452-7011
NPI enumeratedApril 16, 2007
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address1410 S Ferry Rd, Anoka, MN 55303-2164

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