NPIMap

Organization Active NPI

Healing Rays LLC

  • Clinic/Center
  • Brooklyn Park, MN
National Provider Identifier
1023863289
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEALING RAYS LLC
Practice address
10000 Georgia Ave N
Brooklyn Park, MN 55445-2671
Phone
(612) 348-3000
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Ibsa Ahmed Abdulahi
Title
Owner
Phone
(612) 601-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10000 Georgia Ave N
Brooklyn Park, MN 55445-2671

Mailing address

10000 Georgia Ave N
Brooklyn Park, MN 55445-2671
Phone (612) 601-0004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1023863289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 GEORGIA AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452671",
            "telephone_number": "612-601-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 GEORGIA AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452671",
            "telephone_number": "612-348-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING RAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "ABDULAHI",
        "authorized_official_first_name": "IBSA",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-601-0004"
    },
    "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 Feb 28, 2025; 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.