Organization Active NPI

Raising Stars Autism Center, Inc.

  • Early Intervention Provider Agency
  • Saint Paul, MN
National Provider Identifier
1346881786
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
RAISING STARS AUTISM CENTER, INC.
Practice address
425 Etna St Ste 36
Saint Paul, MN 55106-5847
Phone
(651) 500-2463
Fax
(651) 788-9444
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Nimo Hussein Abdi
Title
Owner
Phone
(651) 500-2463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

425 Etna St Ste 36
Saint Paul, MN 55106-5847

Mailing address

425 Etna St Ste 36
Saint Paul, MN 55106-5847
Phone (651) 500-2463

Other names 1

  • Raising Stars Autism Center Doing business as

National Provider Directory

National Provider Directory

Locations

425 Etna St
Ste 36
Saint Paul, MN 55106
Phone (612) 601-3641

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1346881786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ETNA ST STE 36",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065847",
            "telephone_number": "651-500-2463",
            "fax_number": "651-788-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ETNA ST STE 36",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065847",
            "telephone_number": "651-500-2463",
            "fax_number": "651-788-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAISING STARS AUTISM CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "NIMO",
        "authorized_official_middle_name": "HUSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-500-2463"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raising Stars Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.