Solace Cove Corp.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOLACE COVE CORP.

Practice address

6511 22ND St N
Oakdale, MN 55128-4303

Phone

(952) 649-0044

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Osob MohamedNPI 1598358202

Title

Ceo

Phone

(952) 649-0044

Specialties & licenses 1

Addresses

Practitioners 1

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

• Osob Yusuf Mohamed

  • Behavior Technician
  • Oakdale, MN
  • NPI 1598358202
  NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1124884382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 22ND ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551284303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 22ND ST N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551284303",
            "telephone_number": "952-649-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE COVE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "OSOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-649-0044"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.