OrganizationActive
Park Avenue Center Mental Health Services
NPI 1174940076 · Substance Abuse Rehabilitation Facility · Minneapolis, MN
Provider details
- NPI number
- 1174940076
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mark Casagrande, Executive Director(612) 871-7443
- License
- 801867-3-CDT (MN)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2430 Nicollet Ave
Minneapolis, MN 55404-3461
Phone: (612) 871-7443
Street-level locationGet directions
Mailing address
2430 Nicollet Ave
Minneapolis, MN 55404-3461
Registry dates
- Enumerated
- 2014-03-28
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.