Organization Active NPI

Kids Connect LLC

  • Early Intervention Provider Agency
  • Shoreview, MN
National Provider Identifier
1083427041
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
KIDS CONNECT LLC
Practice address
3550 Lexington Ave W, Suite 211
Shoreview, MN 55126
Phone
(612) 919-2884
Fax
(612) 404-1196
NPI assigned
Jan 31, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Mr. Shire Grabofe
Title
Managing Director
Phone
(612) 919-2884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

3550 Lexington Ave W, Suite 211
Shoreview, MN 55126

Mailing address

3550 Lexington Ave W, Suite 211
Shoreview, MN 55126
Phone (612) 919-2884

National Provider Directory

National Provider Directory

Locations

10520 Wayzata Blvd
Ste 100
Minnetonka, MN 55305
Phone (612) 819-2750

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1083427041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LEXINGTON AVE W, SUITE 211",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "55126",
            "telephone_number": "612-919-2884",
            "fax_number": "612-404-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LEXINGTON AVE W, SUITE 211",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "55126",
            "telephone_number": "612-919-2884",
            "fax_number": "612-404-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "GRABOFE",
        "authorized_official_first_name": "SHIRE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "612-919-2884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.