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Micah House

Substance Abuse Rehabilitation Facility in Minneapolis, MN · enumerated 2015 · authorized official Anthony Holmquist-Burks, Clinical Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093190258

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Registry record

Entity type Organization (Type 2)
Legal business name Micah House
Practice address 3047 5th Ave S, Minneapolis, MN, 55408
Phone (651) 827-0484
Fax (612) 827-0485
Enumeration date Jul 29, 2015
Last updated in NPPES Jul 29, 2015

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License 303472 (MN) Primary

Authorized official

Name Anthony Holmquist-Burks
Title Clinical Supervisor
Phone (612) 827-0484

Other identifiers

Identifier Type State Issuer
303472 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Micah House?
The NPI for Micah House is 1093190258, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Micah House?
NPPES lists Anthony Holmquist-Burks (Clinical Supervisor) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-29.