DBA ONE TWELVE – NPI #1366866907
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

DBA ONE TWELVE is a substance abuse rehabilitation facility located in MINNETONKA, MN. NPPES has assigned the NPI number 1366866907 to DBA ONE TWELVE on February 18, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA ONE TWELVE” is a dba name, the actual legal business name for this organization is WEST SIDE SOBER LIVING. 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.

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 DBA ONE TWELVE below.

NPI Profile for
WEST SIDE SOBER LIVING

NPI Number
1366866907
Enumeration Date

(more than 12 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
WEST SIDE SOBER LIVING
Doing Business As (dba): DBA ONE TWELVE
Primary location
12218 LAKE STREET EXT
MINNETONKA, MN 55305-5172
Phone: (952) 513-7475 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL HOLMES
OWNER
Phone: (952) 513-7475
Updated
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)		 MN 1066522

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.