NPIMap

Organization Active NPI

Hani Isse Catering LLC

  • Medical Foods Supplier
  • Minneapolis, MN
National Provider Identifier
1104289719
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Foods SupplierTaxonomy code 335G00000X
License
A552620000 Issued in MN
Legal business name
HANI ISSE CATERING LLC
Practice address
1900 3Rd St NE
401
Minneapolis, MN 55418-4349
Phone
(612) 227-7172
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Hani Mohamed Isse
Title
President
Phone
(612) 227-7172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Foods Supplier 335G00000X A552620000 MN Primary

Addresses

Primary practice location

1900 3Rd St NE
401
Minneapolis, MN 55418-4349

Mailing address

1900 3Rd St NE
401
Minneapolis, MN 55418-4349
Phone (612) 227-7172

Other identifiers 1

IdentifierTypeStateIssuer
A552620000OtherMNFOOD CATERING

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1104289719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 3RD ST NE",
            "address_2": "401",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184349",
            "telephone_number": "612-227-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 3RD ST NE",
            "address_2": "401",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184349",
            "telephone_number": "612-227-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANI ISSE CATERING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "ISSE",
        "authorized_official_first_name": "HANI",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-227-7172"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "MN",
            "license": "A552620000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOOD CATERING",
            "identifier": "A552620000",
            "state": "MN"
        }
    ],
    "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 Mar 31, 2016; 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.