NPIMap

Organization Active NPI

All Level Autism Success LLC

  • Early Intervention Provider Agency
  • Plymouth, MN
National Provider Identifier
1245979178
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ALL LEVEL AUTISM SUCCESS LLC
Practice address
5015 Garland LN N Apt a
Plymouth, MN 55446-2466
Phone
(952) 297-7855
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Ahmedo Mohammed, OWNERNPI 1508631326
Title
Owner
Phone
(952) 297-7855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5015 Garland LN N Apt a
Plymouth, MN 55446-2466

Mailing address

11178 Able St NE
Minneapolis, MN 55434-5505
Phone (952) 297-7855

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1245979178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11178 ABLE ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554345505",
            "telephone_number": "952-297-7855",
            "fax_number": "612-979-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 GARLAND LN N APT A",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462466",
            "telephone_number": "952-297-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL LEVEL AUTISM SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "AHMEDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-297-7855",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.