Solid Base Housing LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SOLID BASE HOUSING LLC

Practice address

4015 Brookdale Cir N
Brooklyn Park, MN 55443-2877

Phone

(952) 715-8037

NPI assigned

Nov 15, 2023

Organization subpart

No

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

Authorized official

Name

Anab O Abdi

Title

Owner

Phone

(952) 715-8037

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1205601655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 BROOKDALE CIR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 BROOKDALE CIR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432877",
            "telephone_number": "952-715-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID BASE HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ANAB",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-715-8037"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Counselor in Minnesota

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