Organization Active NPI

Prime Choice LLC

  • Case Management Agency
  • Saint Cloud, MN
National Provider Identifier
1306651328
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PRIME CHOICE LLC
Practice address
1112 Washington Memorial Dr Apt 210
Saint Cloud, MN 56301-2720
Phone
(612) 209-9870
NPI assigned
Feb 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Noor Gedi
Title
Ceo
Phone
(612) 209-9870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1112 Washington Memorial Dr Apt 210
Saint Cloud, MN 56301-2720

Mailing address

1112 Washington Memorial Dr Apt 210
Saint Cloud, MN 56301-2720
Phone (612) 209-9870

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1306651328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 WASHINGTON MEMORIAL DR APT 210",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563012720",
            "telephone_number": "612-209-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 WASHINGTON MEMORIAL DR APT 210",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563012720",
            "telephone_number": "612-209-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "GEDI",
        "authorized_official_first_name": "NOOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-209-9870"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.