Rs Eden
NPI 1063590214 · Substance Abuse Rehabilitation Facility · Minneapolis, MN
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rs Eden is a Substance Abuse Rehabilitation Facility organization in Minneapolis, MN (NPI 1063590214).
Provider details
- NPI number
- 1063590214
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jessie Johnson, Co-President and Ceo(612) 287-1619
Specialties & taxonomies
Residential Treatment Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
19 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (18)
- 4527 Hiawatha AveMinneapolis, MN 55406-4492Phone: (612) 217-1667Fax: (612) 287-1616
- 1828 Central Ave NeMinneapolis, MN 55418-4541Phone: (612) 217-1667Fax: (612) 287-1616
- 3218 Lyndale Ave NMinneapolis, MN 55412-2559Phone: (612) 217-1667Fax: (612) 287-1616
- 3210 Lyndale Ave NMinneapolis, MN 55412-2563Phone: (612) 217-1667Fax: (612) 287-1616
- 719 E 16th StMinneapolis, MN 55404-1987Phone: (612) 217-1667Fax: (612) 287-1616
- 1931 W Broadway Ave Ste 101Minneapolis, MN 55411-2469Phone: (612) 287-1600Fax: (612) 287-1616
- 2310 Portland AveMinneapolis, MN 55404-3739Phone: (612) 217-1667Fax: (612) 287-1616
- 614 E Grant StMinneapolis, MN 55404-1431Phone: (612) 338-0723
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Frequently asked questions
- What is Rs Eden's NPI number?
- Rs Eden's National Provider Identifier (NPI) is 1063590214, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rs Eden?
- Rs Eden is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Rs Eden located?
- Rs Eden's practice location on file with NPPES is 1025 Portland Ave, Minneapolis, MN 55404-1449.
- What is Rs Eden's phone number?
- The practice phone number listed in the NPPES registry for Rs Eden is (612) 338-0723.
- Does Rs Eden accept Medicare?
- Rs Eden is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rs Eden?
- The authorized official listed on Rs Eden's NPPES record is Jessie Johnson, Co-President and Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rs Eden's NPI active?
- Yes — Rs Eden's NPI (1063590214) is active in the NPPES registry as of the last update on 2025-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.