SHERBURNE RECOVERY SERVICES LLC – NPI #1497610216
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

SHERBURNE RECOVERY SERVICES LLC is a community based residential treatment facility located in SAINT PAUL, MN. NPPES has assigned the NPI number 1497610216 to SHERBURNE RECOVERY SERVICES LLC on December 23, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was last updated on Dec 29, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHERBURNE RECOVERY SERVICES LLC below.

NPI Profile for
SHERBURNE RECOVERY SERVICES LLC

NPI Number
1497610216
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHERBURNE RECOVERY SERVICES LLC
Primary location
418 SHERBURNE AVE
SAINT PAUL, MN 55103-1941
Phone: (612) 819-4966 Fax:
Mailing address
3757 FOSS RD
MINNEAPOLIS, MN 55421-4513
Phone: (612) 819-4966 Fax:
Organization Subpart
No
Authorized Official
ABDIRIHAMAN QADI
CEO
Phone: (763) 647-8161
Updated
Certification Date
Dec 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.