OrganizationActive
Transform Lives LLC
NPI 1790501872 · Substance Use Disorder Rehabilitation Clinic/Center · Fridley, MN
Provider details
- NPI number
- 1790501872
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yusuf Mohamed, Ceo/Owner(763) 203-4974
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1250 Moore Lake Dr E Ste 150
Fridley, MN 55432-5135
Phone: (763) 203-4974
Approximate (ZIP-level) locationGet directions
Mailing address
1250 Moore Lake Dr E Ste 150
Fridley, MN 55432-5135
Registry dates
- Enumerated
- 2024-11-23
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.