Unity Bridge Autis Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

UNITY BRIDGE AUTIS CENTER LLC

Practice address

6200 Excelsior Blvd
St Louis Park, MN 55416-2730

Phone

(952) 923-0493

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Mohamed Abdirazak Hersi

Title

Owner

Phone

(952) 923-0493

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1154179059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162730",
            "telephone_number": "952-923-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162730",
            "telephone_number": "952-923-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY BRIDGE AUTIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "HERSI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ABDIRAZAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-923-0493"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Ulstrom
• Emily Umbreit, MOTR/L
• Tena L Ungerman, NP-C
• Janet Louise Ungs, ARNP
• United Step Cancer Foundation
• Universal Anesthesia Inc
• University of Minnesota Physicians
• Kari Lynn Unke, MAT-CCC-SLP
• Daniel L Unruh
• Kari Elizabeth Urberg-Carlson, PHD, CCC-SLP

• Early Intervention Provider Agency in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.