Health Care & Social Assistance LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HEALTH CARE & SOCIAL ASSISTANCE LLC

Practice address

1920 3Rd Ave S
Minneapolis, MN 55404-2760

Phone

(651) 404-9392

NPI assigned

Mar 21, 2023

Last updated

Mar 21, 2023By 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

Douglas Johnson

Title

Owner

Phone

(651) 404-9392

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1083316053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 3RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 3RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042760",
            "telephone_number": "651-404-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE & SOCIAL ASSISTANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-404-9392"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.