Active NPI
Uplifted Community Services LLC
- Clinic/Center
- Brooklyn Park, MN
National Provider Identifier
1023729639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Registered Nurse
- Minneapolis, MN
- NPI 1386216927
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
- Universal Adult Day Care Center, LLC.
- Universal Home Health of MN LLC
- Universal Medical Equipment Inc
- Uplifted Care Services LLC
- Uplifted Care Services LLC
- Uplifting Praise Medical Transportation LLC
- V&P Medical Supply LLC
- Vaimar Suites LLC
- David Oswaldo Valdepena Garcia
- Hailey Nicol Valencour, OTD, OTR/L
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.