Hero Autism Center LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

HERO AUTISM CENTER LLC

Practice address

3040 4TH Ave S Ste 106
Minneapolis, MN 55408-2409

Phone

(612) 702-9499

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Hanad Yussuf Mohamed

Title

Owner

Phone

(612) 702-9499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1073112975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 4TH AVE S STE 106",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082409",
            "telephone_number": "612-702-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 4TH AVE S STE 106",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082409",
            "telephone_number": "612-702-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "HANAD",
        "authorized_official_middle_name": "YUSSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-702-9499"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Hernandez-Serrato, RN
• Aelyn Hernandez
• Amelia Hernandez
• Maricon Hernando
• Micah Alicia Herndon
• Karin Lynn Herold, RN
• Sarah Herold, RN
• Bonni Herpst, LICSW
• Adam Michael Herr, RN
• Elsbeth Bisbal Herr, APRN, CPNP-PC

• Developmental Disabilities Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Developmental Disabilities Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.