Organization Active NPI

Cusman Jiire LLC

  • Adult Mental Health Clinic/Center
  • Edina, MN
National Provider Identifier
1275315293
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CUSMAN JIIRE LLC
Practice address
6300 York Ave S Apt 208
Edina, MN 55435-2288
Phone
(612) 644-4950
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Mr. Faadil Sheikhmohamed
Title
Director
Phone
(612) 644-4950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

6300 York Ave S Apt 208
Edina, MN 55435-2288

Mailing address

6300 York Ave S Apt 208
Edina, MN 55435-2288
Phone (612) 644-4950

Other names 1

  • Cusman Jiire LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1275315293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 YORK AVE S APT 208",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352288",
            "telephone_number": "612-644-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 YORK AVE S APT 208",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352288",
            "telephone_number": "612-644-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSMAN JIIRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A",
        "authorized_official_last_name": "SHEIKHMOHAMED",
        "authorized_official_first_name": "FAADIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-644-4950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cusman Jiire LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.