180 Degrees, Inc

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

180 DEGREES, INC

Practice address

813 N 5TH St
Minneapolis, MN 55401-1135

Phone

(952) 600-7846

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Girma Yimam

Title

Chief Operating Officer

Phone

(612) 813-5024

Specialties & licenses 1

Addresses

Tax ID family

180 Degrees Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 180 Degrees, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Saint Paul, MN
  • NPI 1578958419
  NPD tax ID

Locations

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1154015642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 CLIFTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N 5TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011135",
            "telephone_number": "952-600-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "180 DEGREES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "YIMAM",
        "authorized_official_first_name": "GIRMA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "612-813-5024"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Supports Brokerage Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.