Angel Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ANGEL CENTER LLC

Practice address

7260 University Ave NE Ste 315
Fridley, MN 55432-3129

Phone

(763) 898-8368

NPI assigned

Aug 15, 2024

Last updated

Aug 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anhar Badri Ibrahim

Title

Owner

Phone

(763) 898-8368

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1053143479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12648 LEYTE ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496791",
            "telephone_number": "763-898-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE STE 315",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323129",
            "telephone_number": "763-898-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ANHAR",
        "authorized_official_middle_name": "BADRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-898-8368"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Anderson, PA-C
• Molly-Jean Margaret Anderson, DC
• R M H Anderson
• Rhonda Lee Anderson, PT
• Sarah Diane Anderson
• Katherine Anschutz, LADC
• Abdulqadir Ibrahim Anshur
• Abdiaziz Arale
• Imraan Arale
• Aria Counseling Assessment and Mediation Centers PLLC

• Early Intervention Provider Agency in Fridley, MN
• Providers in Fridley, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.