OrganizationActive
Family Focused Recovery Services PLLC
NPI 1801161427 · Substance Abuse Rehabilitation Facility · Robbinsdale, MN
Provider details
- NPI number
- 1801161427
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Derryck Moore, Ceo(612) 220-8645
- License
- 301674 (MN)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
4080 W Broadway Ave
Robbinsdale, MN 55422-5604
Phone: (612) 220-8645
Street-level locationGet directions
Mailing address
4080 W Broadway Ave
Robbinsdale, MN 55422-5604
Registry dates
- Enumerated
- 2012-03-14
- Last updated
- 2012-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.