NPIMap

Organization Active NPI

Oasis Child Development Center Inc

  • Early Intervention Provider Agency
  • Minneapolis, MN
National Provider Identifier
1124614698
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
OASIS CHILD DEVELOPMENT CENTER INC
Practice address
4540 Snelling Ave Apt 408
Minneapolis, MN 55406-4413
Phone
(612) 423-6329
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Liban FarahNPI 1962796862
Title
Owner
Phone
(612) 423-6329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4540 Snelling Ave Apt 408
Minneapolis, MN 55406-4413

Mailing address

4540 Snelling Ave Apt 408
Minneapolis, MN 55406-4413
Phone (612) 423-6329

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1124614698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SNELLING AVE APT 408",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554064413",
            "telephone_number": "612-423-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SNELLING AVE APT 408",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554064413",
            "telephone_number": "612-423-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS CHILD DEVELOPMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "LIBAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-423-6329"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 17, 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.