Active NPI
Habboon Adult Rehab Mental Services
- In Home Supportive Care Agency
- Saint Paul, MN
National Provider Identifier
1366715815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HABBOON ADULT REHAB MENTAL SERVICES
- Practice address
- 808 Berry St Ste# 192
Saint Paul, MN 55114-1082 - Phone
- (612) 332-9005
- NPI assigned
- Feb 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suad Mohamed Haji
- Title
- Director
- Phone
- (612) 332-9005
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
808 Berry St Ste# 192
Saint Paul, MN 55114-1082
Mailing address
808 Berry St Ste# 192
Saint Paul, MN 55114-1082
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329177600000",
"number": "1366715815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 BERRY ST STE# 192",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 BERRY ST STE# 192",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141082",
"telephone_number": "612-332-9005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HABBOON ADULT REHAB MENTAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-14",
"last_updated": "2012-02-14",
"status": "A",
"authorized_official_last_name": "HAJI",
"authorized_official_first_name": "SUAD",
"authorized_official_middle_name": "MOHAMED",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "612-332-9005"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.