Aspen Care LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ASPEN CARE LLC

Practice address

710 40TH Ave NE
Columbia Heights, MN 55421-2901

Phone

(763) 432-5637

Fax

(763) 432-3866

NPI assigned

Jul 8, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Ahmedweli Hassan Farah

Title

President/Ceo

Phone

(952) 715-7471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499472000000",
    "number": "1083136352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 40TH AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212901",
            "telephone_number": "763-432-5637",
            "fax_number": "763-432-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 40TH AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212901",
            "telephone_number": "763-432-5637",
            "fax_number": "763-432-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-08",
        "last_updated": "2017-07-08",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "AHMEDWELI",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "952-715-7471",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Columbia Heights, MN
• Providers in Columbia Heights, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2017; 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.