Prelease SBC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PRELEASE SBC

Practice address

1249 Sherburne Ave
Saint Paul, MN 55104-2530

Phone

(507) 596-9686

NPI assigned

May 26, 2023

Organization subpart

No

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

Authorized official

Name

Abu Nayeem

Title

Ceo

Phone

(507) 596-9686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1356034359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 SHERBURNE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 SHERBURNE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042530",
            "telephone_number": "507-596-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRELEASE SBC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "NAYEEM",
        "authorized_official_first_name": "ABU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-596-9686"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.