Active NPI
Kind Spectrum Care LL
- Community/Behavioral Health Agency
- Byron, MN
National Provider Identifier
1295548097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.