Active NPI
Guided Pathway
- Substance Abuse Rehabilitation Facility
- Minneapolis, MN
National Provider Identifier
1366913287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- GUIDED PATHWAY
- Practice address
- 2119 Elliot Ave
Minneapolis, MN 55404-2971 - Phone
- (612) 568-6860
- NPI assigned
- Dec 17, 2018
- 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
- Mr. Liiban Ahmed Hassan, CEO
- Title
- Director of Opporations
- Phone
- (612) 644-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
2119 Elliot Ave
Minneapolis, MN 55404-2971
Mailing address
2930 Blaisdell Ave Apt 226
Minneapolis, MN 55408-2325
Phone (612) 644-6800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545264000000",
"number": "1366913287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 BLAISDELL AVE APT 226",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082325",
"telephone_number": "612-644-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 ELLIOT AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554042971",
"telephone_number": "612-568-6860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUIDED PATHWAY",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-17",
"last_updated": "2018-12-20",
"status": "A",
"authorized_official_last_name": "HASSAN",
"authorized_official_first_name": "LIIBAN",
"authorized_official_middle_name": "AHMED",
"authorized_official_title_or_position": "DIRECTOR OF OPPORATIONS",
"authorized_official_telephone_number": "612-644-6800",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.