Organization Active NPI

Evolving Care Inc

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1194570853
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EVOLVING CARE INC
Practice address
322 W Lake St Ste 215
Minneapolis, MN 55408-5202
Phone
(612) 615-8373
NPI assigned
Apr 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Abdirahman Hussein Dahir
Title
Owner
Phone
(612) 615-8373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

322 W Lake St Ste 215
Minneapolis, MN 55408-5202

Mailing address

322 W Lake St Ste 215
Minneapolis, MN 55408-5202
Phone (612) 615-8373

National Provider Directory

National Provider Directory

Locations

322 W Lake St
Ste 215
Minneapolis, MN 55408
Phone (612) 615-8373

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1194570853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W LAKE ST STE 215",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085202",
            "telephone_number": "612-615-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W LAKE ST STE 215",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085202",
            "telephone_number": "612-615-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "DAHIR",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_middle_name": "HUSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-615-8373"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.