Organization Active NPI

Quantum Steam Academy Charter School

  • Local Education Agency (LEA)
  • Saint Paul, MN
National Provider Identifier
1114689064
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
QUANTUM STEAM ACADEMY CHARTER SCHOOL
Practice address
497 Humboldt Ave
Saint Paul, MN 55107-2866
Phone
(651) 615-6888
NPI assigned
Oct 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Mahrous Mosamud Kandil
Title
Director
Phone
(651) 615-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

497 Humboldt Ave
Saint Paul, MN 55107-2866

Mailing address

497 Humboldt Ave
Saint Paul, MN 55107-2866

National Provider Directory

National Provider Directory

Locations

497 Humboldt Ave
Saint Paul, MN 55107
Phone (612) 423-0001

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1114689064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 HUMBOLDT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 HUMBOLDT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072866",
            "telephone_number": "651-615-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM STEAM ACADEMY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "KANDIL",
        "authorized_official_first_name": "MAHROUS",
        "authorized_official_middle_name": "MOSAMUD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-615-6888"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.