Organization Active NPI

Radiant Minds Autism Center LLC

  • Community/Behavioral Health Agency
  • Lakeville, MN
National Provider Identifier
1215753744
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RADIANT MINDS AUTISM CENTER LLC
Practice address
18418 Greenstone Way
Lakeville, MN 55044-4843
Phone
(612) 423-8858
NPI assigned
Nov 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Authorized official

Name
Nimo Osman
Title
Owner
Phone
(612) 423-8858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

18418 Greenstone Way
Lakeville, MN 55044-4843

Mailing address

18418 Greenstone Way
Lakeville, MN 55044-4843
Phone (612) 423-8858

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1215753744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18418 GREENSTONE WAY",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444843",
            "telephone_number": "612-423-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18418 GREENSTONE WAY",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444843",
            "telephone_number": "612-423-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT MINDS AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "NIMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-423-8858"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.