SHAREHOUSE GENESIS – NPI #1356576979
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

SHAREHOUSE GENESIS is a substance abuse rehabilitation facility located in FARGO, ND. NPPES has assigned the NPI number 1356576979 to SHAREHOUSE GENESIS on May 27, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Feb 17, 2026. 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 SHAREHOUSE GENESIS below.

NPI Profile for
SHAREHOUSE GENESIS

NPI Number
1356576979
Enumeration Date

(more than 17 years 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
SHAREHOUSE GENESIS
Primary location
505 40TH ST S UNIT B
FARGO, ND 58103-1184
Phone: (701) 478-8440 Fax: (651) 925-0046
Mailing address
4227 9TH AVE S
FARGO, ND 58103-2018
Phone: (701) 282-6561 Fax: (651) 925-0046
Organization Subpart
Yes - SHAREHOUSE GENESIS is subpart of another organization.
Authorized Official
JEREMY TRAEN
CEO/PRESIDENT
Phone: (701) 532-4345
Updated
Certification Date
Feb 17, 2026

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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 ND 1056
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder
251S00000X
- Community/Behavioral Health

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.