NPIMap

Organization Active NPI

Surecare Nemt Services LLC

  • Clinic/Center
  • Eden Prairie, MN
National Provider Identifier
1144011370
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SURECARE NEMT SERVICES LLC
Practice address
8685 Magnolia TRL Apt 307
Eden Prairie, MN 55344-7664
Phone
(612) 496-6671
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Abdirahman Rashed Ibrahim,
Title
Owner
Phone
(612) 496-6671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8685 Magnolia TRL Apt 307
Eden Prairie, MN 55344-7664

Mailing address

8685 Magnolia TRL Apt 307
Eden Prairie, MN 55344-7664
Phone (612) 496-6671

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1144011370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8685 MAGNOLIA TRL APT 307",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447664",
            "telephone_number": "612-496-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 MAGNOLIA TRL APT 307",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447664",
            "telephone_number": "612-496-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURECARE NEMT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM,",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_middle_name": "RASHED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-496-6671"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.