Organization Active NPI

Guided Pathway

  • Substance Abuse Rehabilitation Facility
  • Minneapolis, MN
National Provider Identifier
1366913287
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Dec 20, 2018

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.