Organization Active NPI

Higher Peaks Development Center LLC

  • Early Intervention Provider Agency
  • Minnetonka, MN
National Provider Identifier
1013681931
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
HIGHER PEAKS DEVELOPMENT CENTER LLC
Practice address
10101 Bren Rd E Unit 107
Minnetonka, MN 55343-0029
Phone
(612) 886-5794
NPI assigned
Aug 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abdirahman AbdinoorNPI 1174308308
Title
Owner
Phone
(612) 886-5794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

10101 Bren Rd E Unit 107
Minnetonka, MN 55343-0029

Mailing address

10101 Bren Rd E Unit 107
Minnetonka, MN 55343-0029
Phone (612) 886-5794

Other names 1

  • Higher Peaks Development Center LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1013681931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 BREN RD E UNIT 107",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553430029",
            "telephone_number": "612-886-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 BREN RD E UNIT 107",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553430029",
            "telephone_number": "612-886-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHER PEAKS DEVELOPMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "ABDINOOR",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-886-5794"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Higher Peaks Development Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.