Organization Active NPI

Cici Health Services LLC

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1316830359
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CICI HEALTH SERVICES LLC
Practice address
1317 E Lake St Ste 5
Minneapolis, MN 55407-6601
Phone
(763) 340-4413
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Fowsiya Abdihamid Hassan
Title
Owner
Phone
(763) 340-4413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1317 E Lake St Ste 5
Minneapolis, MN 55407-6601

Mailing address

1317 E Lake St Ste 5
Minneapolis, MN 55407-6601
Phone (763) 340-4413

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1316830359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 E LAKE ST STE 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554076601",
            "telephone_number": "763-340-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 E LAKE ST STE 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554076601",
            "telephone_number": "763-340-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CICI HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "FOWSIYA",
        "authorized_official_middle_name": "ABDIHAMID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-340-4413"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.