Otter Tail Health Care Services LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

OTTER TAIL HEALTH CARE SERVICES LLC

Practice address

441 Old Highway 8 NW Ste 213
New Brighton, MN 55112-3235

Phone

(612) 876-1144

Fax

(702) 975-5307

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Libin Hassan Hashi

Title

Mental Health Practitioner

Phone

(612) 876-1144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1033885264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BERRY ST APT 150",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141390",
            "telephone_number": "612-876-1144",
            "fax_number": "702-975-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 OLD HIGHWAY 8 NW STE 213",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123235",
            "telephone_number": "612-876-1144",
            "fax_number": "702-975-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTER TAIL HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "HASHI",
        "authorized_official_first_name": "LIBIN",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "MENTAL HEALTH PRACTITIONER",
        "authorized_official_telephone_number": "612-876-1144"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Case Manager/Care Coordinator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.