Autism Bright Start

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AUTISM BRIGHT START

Practice address

2644 13TH Ave S
Minneapolis, MN 55407-1121

Phone

(612) 598-9893

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Amal Abdi

Title

Owner

Phone

(612) 598-9893

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1043823545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 13TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071121",
            "telephone_number": "612-598-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 13TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071121",
            "telephone_number": "612-598-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM BRIGHT START",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-598-9893"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.