Organization Active NPI

Kind Spectrum Care LL

  • Community/Behavioral Health Agency
  • Byron, MN
National Provider Identifier
1295548097
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KIND SPECTRUM CARE LL
Practice address
686 Stone Haven Dr NE
Byron, MN 55920-1651
Phone
(507) 517-1369
NPI assigned
Jan 28, 2025
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Farah Mohamoud
Title
Owner Or Ceo
Phone
(507) 517-1369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

686 Stone Haven Dr NE
Byron, MN 55920-1651

Mailing address

686 Stone Haven Dr NE
Byron, MN 55920-1651
Phone (507) 517-1369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1295548097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 STONE HAVEN DR NE",
            "city": "BYRON",
            "state": "MN",
            "postal_code": "559201651",
            "telephone_number": "507-517-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 STONE HAVEN DR NE",
            "city": "BYRON",
            "state": "MN",
            "postal_code": "559201651",
            "telephone_number": "507-517-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND SPECTRUM CARE LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "MOHAMOUD",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OWNER OR CEO",
        "authorized_official_telephone_number": "507-517-1369"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.