Organization Active NPI

Barack Center for Kids Inc

  • Early Intervention Provider Agency
  • Columbia Heights, MN
National Provider Identifier
1235929514
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BARACK CENTER FOR KIDS INC
Practice address
700 40TH Ave NE Ste 2
Columbia Heights, MN 55421-2901
Phone
(952) 687-0696
NPI assigned
May 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Hangatu Abdurazak Yusuf
Title
Owner
Phone
(952) 687-0696

Specialties & licenses 1

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

Addresses

Primary practice location

700 40TH Ave NE Ste 2
Columbia Heights, MN 55421-2901

Mailing address

700 40TH Ave NE Ste 2
Columbia Heights, MN 55421-2901
Phone (952) 687-0696

National Provider Directory

National Provider Directory

Locations

700 40th Ave NE
Ste 2
Columbia Heights, MN 55421
Phone (952) 687-0696

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1235929514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 40TH AVE NE STE 2",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212901",
            "telephone_number": "952-687-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 40TH AVE NE STE 2",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212901",
            "telephone_number": "952-687-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARACK CENTER FOR KIDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "HANGATU",
        "authorized_official_middle_name": "ABDURAZAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-687-0696"
    },
    "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 May 9, 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.