Organization Active NPI

Qazaali Impact LLC

  • Community Health Worker
  • Minneapolis, MN
National Provider Identifier
1225865868
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
QAZAALI IMPACT LLC
Practice address
912 E 24TH St Ste 154
Minneapolis, MN 55404-3869
Phone
(952) 994-6151
Fax
(612) 278-2110
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Abdirahman Sheikh Omar
Title
Owner
Phone
(952) 994-6151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

912 E 24TH St Ste 154
Minneapolis, MN 55404-3869

Mailing address

912 E 24TH St Ste 154
Minneapolis, MN 55404-3869
Phone (952) 994-6151

National Provider Directory

National Provider Directory

Locations

912 E 24th St
Ste 154
Minneapolis, MN 55404
Phone (952) 994-6151

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1225865868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E 24TH ST STE 154",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043869",
            "telephone_number": "952-994-6151",
            "fax_number": "612-278-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E 24TH ST STE 154",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043869",
            "telephone_number": "952-994-6151",
            "fax_number": "612-278-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QAZAALI IMPACT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_middle_name": "SHEIKH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-994-6151"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "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 Sep 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.