Organization Active NPI

Advance Spectrum Center

  • Early Intervention Provider Agency
  • Columbia Heights, MN
National Provider Identifier
1205724366
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ADVANCE SPECTRUM CENTER
Practice address
704 40TH Ave NE Unit 6
Columbia Heights, MN 55421-2901
Phone
(218) 409-0901
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Urji Yusuf
Title
Owner
Phone
(218) 409-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

704 40TH Ave NE Unit 6
Columbia Heights, MN 55421-2901

Mailing address

704 40TH Ave NE Unit 6
Columbia Heights, MN 55421-2901

National Provider Directory

National Provider Directory

Locations

704 40th Ave NE
Unit 6
Columbia Heights, MN 55421
Phone (218) 409-0901

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1205724366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 40TH AVE NE UNIT 6",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 40TH AVE NE UNIT 6",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212901",
            "telephone_number": "218-409-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE SPECTRUM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "URJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-409-0901"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.