West Side Sober Living
NPI 1366866907 · Substance Abuse Rehabilitation Facility · Minnetonka, MN
West Side Sober Living is a Substance Abuse Rehabilitation Facility organization in Minnetonka, MN (NPI 1366866907).
Provider details
- NPI number
- 1366866907
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Holmes, Owner(952) 513-7475
- License
- 1066522 (MN)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Dba One Twelve
Registry dates
- Enumerated
- 2014-02-18
- Last updated
- 2014-02-18
Frequently asked questions
- What is West Side Sober Living's NPI number?
- West Side Sober Living's National Provider Identifier (NPI) is 1366866907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is West Side Sober Living?
- West Side Sober Living is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is West Side Sober Living located?
- West Side Sober Living's practice location on file with NPPES is 12218 Lake Street Ext, Minnetonka, MN 55305-5172.
- What is West Side Sober Living's phone number?
- The practice phone number listed in the NPPES registry for West Side Sober Living is (952) 513-7475.
- Who is the authorized official for West Side Sober Living?
- The authorized official listed on West Side Sober Living's NPPES record is Michael Holmes, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is West Side Sober Living's NPI active?
- Yes — West Side Sober Living's NPI (1366866907) is active in the NPPES registry as of the last update on 2014-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.