Organization Active NPI

Saba Treatment Center LLC

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1124866066
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SABA TREATMENT CENTER LLC
Practice address
322 W Lake St Ste 226
Minneapolis, MN 55408-5203
Phone
(651) 800-6733
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Mohamed Mohamud
Title
Owner
Phone
(651) 800-6733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

322 W Lake St Ste 226
Minneapolis, MN 55408-5203

Mailing address

322 W Lake St Ste 226
Minneapolis, MN 55408-5203

National Provider Directory

National Provider Directory

Locations

322 W Lake St
Ste 226
Minneapolis, MN 55408
Phone (651) 800-6733

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1124866066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W LAKE ST STE 226",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W LAKE ST STE 226",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085203",
            "telephone_number": "651-800-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABA TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-800-6733"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Jul 16, 2024; 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.