COMMUNITY ADDICTION RECOVERY ENTERPRISE ANOKA – NPI #1679647218
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.

COMMUNITY ADDICTION RECOVERY ENTERPRISE ANOKA is a substance abuse rehabilitation facility located in ANOKA, MN. NPPES has assigned the NPI number 1679647218 to COMMUNITY ADDICTION RECOVERY ENTERPRISE ANOKA on November 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 Jan 07, 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 COMMUNITY ADDICTION RECOVERY ENTERPRISE ANOKA below.

NPI Profile for
COMMUNITY ADDICTION RECOVERY ENTERPRISE ANOKA

NPI Number
1679647218
Enumeration Date

(more than 19 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
COMMUNITY ADDICTION RECOVERY ENTERPRISE ANOKA
Primary location
3301 7TH AVE N
SUITE V
ANOKA, MN 55303-4516
Phone: (651) 431-5250 Fax:
Mailing address
3200 LABORE RD
SUITE 104
VADNAIS HEIGHTS, MN 55110-5186
Phone: (651) 539-7200 Fax:
Organization Subpart
Yes - COMMUNITY ADDICTION RECOVERY ENTERPRISE ANOKA is subpart of another organization.
Authorized Official
LYNN GLANCEY
CFO
Phone: (651) 431-3693
Updated
Certification Date
Jan 07, 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.

Identifiers

Identifiers for COMMUNITY ADDICTION RECOVERY ENTERPRISE ANOKA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMN120357600
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 803828-2-CDT

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.