Formula Transitional Housing

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

FORMULA TRANSITIONAL HOUSING

Practice address

1821 University Ave W Ste 181
Saint Paul, MN 55104-2879

Phone

(507) 479-1963

NPI assigned

Sep 12, 2024

Last updated

Sep 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ismail AbdimajidNPI 1700637410

Title

Owner

Phone

(619) 763-4563

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ismail Nur Abdimajid

  • Counselor
  • Lakeville, MN
  • NPI 1700637410
  NPD Authorized official

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1265268460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 181",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042879",
            "telephone_number": "507-479-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 181",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042879",
            "telephone_number": "507-479-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMULA TRANSITIONAL HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "ABDIMAJID",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-763-4563"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inga C Forde, MD
• Forever Friendship Adult Day Center
• Forevercare Agency
• Douglas Peter Forgit, M.D.
• Leslie B Forgosh, MD
• Lauren Y Forner, CRNA
• Rebekah A Forrest, CFNP
• Heather Leigh Forrester Halker, MD
• Alexis Ann Forsberg, CNP
• Aryana Forsberg

• Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.