NPIMap

Organization Active NPI

Senzilla Health Services, LLC

  • Developmental Disabilities Clinic/Center
  • St Anthony, MN
National Provider Identifier
1255825345
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
SENZILLA HEALTH SERVICES, LLC
Doing business as
Senzilla Health Services, LLC
Practice address
3035 Old Highway 8
Suite 101F
St. Anthony, MN 55418
Phone
(612) 259-7715
Fax
(612) 259-7889
NPI assigned
Jun 21, 2018
Last updated
Aug 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Authorized official

Name
Ms. Samsam Osman Mohamed, MASTER DEGREENPI 1518512375
Title
Ceo
Phone
(619) 471-5686

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
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

3035 Old Highway 8
Suite 101F
St. Anthony, MN 55418

Mailing address

3055 Old Highway 8 Ste 101F
St Anthony, MN 55418-2500
Phone (612) 259-7715

Other names 1

  • Senzilla Health Services, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1255825345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE 101F",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "612-259-7715",
            "fax_number": "612-259-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 OLD HIGHWAY 8",
            "address_2": "SUITE 101F",
            "city": "ST. ANTHONY",
            "state": "MN",
            "postal_code": "55418",
            "telephone_number": "612-259-7715",
            "fax_number": "612-259-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENZILLA HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SAMSAM",
        "authorized_official_middle_name": "OSMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-471-5686",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASTER DEGREE"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senzilla Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senzilla Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Anthony, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.