OrganizationActive
Path to Recovery LLC
NPI 1467136895 · Substance Use Disorder Rehabilitation Clinic/Center · Shakopee, MN
Provider details
- NPI number
- 1467136895
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Abdirahman Omar, Administrator(612) 999-8057
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1240 3rd Ave E Ste 107
Shakopee, MN 55379-1749
Phone: (952) 324-5146
Fax: (952) 456-8456
Street-level locationGet directions
Mailing address
1240 3rd Ave E Ste 107
Shakopee, MN 55379-1749
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.