Anishinaabe Endaad LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ANISHINAABE ENDAAD LLC

Practice address

424 2ND St NW
Mahnomen, MN 56557-4316

Phone

(612) 208-6613

NPI assigned

Aug 14, 2021

Organization subpart

No

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

Authorized official

Name

Adam Fairbanks

Title

Principal

Phone

(612) 208-6613

Specialties & licenses 2

Addresses

Tax ID family

Anishinaabe Endaad LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Anishinaabe Endaad LLC

  • Case Management Agency
  • Robbinsdale, MN
  • NPI 1700658507
  NPD tax ID
• Anishinaabe Endaad LLC

  • Case Management Agency
  • Minneapolis, MN
  • NPI 1770180606
  NPD tax ID

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628899200000",
    "number": "1194490763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 ZENITH AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 2ND ST NW",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "565574316",
            "telephone_number": "612-208-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANISHINAABE ENDAAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "612-208-6613"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Anne Bakke, PA-C
• Erika Kaye Beckett, NP
• Chelsea Beckman
• Sarah A Bement, PA-C
• Michael E Bishop, DC, MPAS, MBA, PA-C

• Case Management Agency in Mahnomen, MN
• Providers in Mahnomen, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.