Organization Active NPI

Uplifted Community Services LLC

  • Clinic/Center
  • Brooklyn Park, MN
National Provider Identifier
1023729639
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UPLIFTED COMMUNITY SERVICES LLC
Practice address
3350 Brookdale Dr N
Brooklyn Park, MN 55443-2863
Phone
(763) 280-3236
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Farhiyafarah Farah
Title
Owner
Phone
(763) 280-3236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3350 Brookdale Dr N
Brooklyn Park, MN 55443-2863

Mailing address

3350 Brookdale Dr N
Brooklyn Park, MN 55443-2863

National Provider Directory

National Provider Directory

Locations

3350 Brookdale Dr N
Brooklyn Park, MN 55443
Phone (763) 280-3236

3340 Brookdale Dr N
Minneapolis, MN 55443
Phone (763) 280-3236

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": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1023729639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 BROOKDALE DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 BROOKDALE DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432863",
            "telephone_number": "763-280-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFTED COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "FARHIYAFARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-280-3236"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.