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
Organization subpart
No

Authorized official

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2025.

{
    "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.