Organization Active NPI

Wholesome Housing Services LLC

  • Social Worker
  • Eden Prairie, MN
National Provider Identifier
1366286288
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
WHOLESOME HOUSING SERVICES LLC
Practice address
13089 Crimson Clover LN
Eden Prairie, MN 55347-5260
Phone
(612) 756-5485
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Shukri Abdihakim Abdillahi
Title
Authorized Official
Phone
(612) 756-5485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

13089 Crimson Clover LN
Eden Prairie, MN 55347-5260

Mailing address

13089 Crimson Clover LN
Eden Prairie, MN 55347-5260
Phone (612) 756-5485

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1366286288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13089 CRIMSON CLOVER LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553475260",
            "telephone_number": "612-756-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13089 CRIMSON CLOVER LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553475260",
            "telephone_number": "612-756-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME HOUSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "ABDILLAHI",
        "authorized_official_first_name": "SHUKRI",
        "authorized_official_middle_name": "ABDIHAKIM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "612-756-5485"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.