Hero Kid Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

HERO KID CENTER LLC

Practice address

8200 Humboldt Ave S
210
Bloomington, MN 55431

Phone

(612) 806-5655

Fax

(952) 556-9845

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Osman Mohamud HassanNPI 1902401474

Title

Ceo

Phone

(612) 806-5655

Specialties & licenses 2

Addresses

Practitioners 1

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

• Osman Mohamud Hassan

  • Early Intervention Provider Agency
  • Bloomington, MN
  • NPI 1902401474
  NPD Authorized official

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1275124083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 HUMBOLDT AVE S",
            "address_2": "210",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55431",
            "telephone_number": "612-806-5655",
            "fax_number": "952-556-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 HUMBOLDT AVE S",
            "address_2": "210",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55431",
            "telephone_number": "612-806-5655",
            "fax_number": "952-556-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO KID CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_middle_name": "MOHAMUD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-806-5655"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Hermes, MA, LPCC
• Jade Victoria Hernandez Gil
• Jessica Hernandez-Valencia
• Rafael Luis Hernandez
• Hernick Family Dental PLLC
• Rose Pachia Herr
• Elijah Anthony Herrick
• Faizo A Hersi
• Ibrahim Hussein Hersi
• Catherine Hessig, AU.D

• Early Intervention Provider Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.