Organization Active NPI

Growth Services LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1356056964
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GROWTH SERVICES LLC
Practice address
1821 University Ave W Ste 325
Saint Paul, MN 55104-2874
Phone
(612) 562-3787
NPI assigned
Jan 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Endi Mohamud
Title
Owner
Phone
(612) 562-3787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1821 University Ave W Ste 325
Saint Paul, MN 55104-2874

Mailing address

1821 University Ave W Ste 325
Saint Paul, MN 55104-2874
Phone (612) 562-3787

Other identifiers 1

IdentifierTypeStateIssuer
M640933000OtherMNUMPI

National Provider Directory

National Provider Directory

Locations

1821 University Ave W
Ste 325
Saint Paul, MN 55104
Phone (612) 562-3787

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1356056964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 325",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042874",
            "telephone_number": "612-562-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 325",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042874",
            "telephone_number": "612-562-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "ENDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-562-3787"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "M640933000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 18, 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.