Nystrom Residential Treatment, LLC
NPI 1386229748 · Substance Abuse Rehabilitation Facility · Big Lake, MN
Nystrom Residential Treatment, LLC is a Substance Abuse Rehabilitation Facility organization in Big Lake, MN (NPI 1386229748).
Provider details
- NPI number
- 1386229748
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ann Eiden, Vp of Corporate Services(651) 379-1750
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
5 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
Registry dates
- Enumerated
- 2021-03-16
- Last updated
- 2025-04-07
- Certified
- 2025-04-07
Frequently asked questions
- What is Nystrom Residential Treatment, LLC's NPI number?
- Nystrom Residential Treatment, LLC's National Provider Identifier (NPI) is 1386229748, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nystrom Residential Treatment, LLC?
- Nystrom Residential Treatment, LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Nystrom Residential Treatment, LLC located?
- Nystrom Residential Treatment, LLC's practice location on file with NPPES is 19580 Station St, Big Lake, MN 55309-9411.
- What is Nystrom Residential Treatment, LLC's phone number?
- The practice phone number listed in the NPPES registry for Nystrom Residential Treatment, LLC is (763) 309-2021.
- Who is the authorized official for Nystrom Residential Treatment, LLC?
- The authorized official listed on Nystrom Residential Treatment, LLC's NPPES record is Ann Eiden, Vp of Corporate Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nystrom Residential Treatment, LLC's NPI active?
- Yes — Nystrom Residential Treatment, LLC's NPI (1386229748) is active in the NPPES registry as of the last update on 2025-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.