Organization Active NPI

United Social Service of MN LLC

  • Pediatric Skilled Nursing Facility
  • Minneapolis, MN
National Provider Identifier
1093361644
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
UNITED SOCIAL SERVICE OF MN LLC
Practice address
3055 Old Highway 8 RM 101G
Minneapolis, MN 55418-2500
Phone
(952) 381-5927
NPI assigned
Aug 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Abdukadir Nor
Title
Owner
Phone
(952) 381-5927

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Pediatric Skilled Nursing Facility 3140N1450X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

3055 Old Highway 8 RM 101G
Minneapolis, MN 55418-2500

Mailing address

3055 Old Highway 8 RM 101G
Minneapolis, MN 55418-2500
Phone (952) 381-5927

National Provider Directory

National Provider Directory

Locations

617 Cedar Ave S
#A17
Minneapolis, MN 55454

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1093361644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 RM 101G",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "952-381-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 RM 101G",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "952-381-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SOCIAL SERVICE OF MN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "NOR",
        "authorized_official_first_name": "ABDUKADIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-381-5927"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.