Allied Healing Center Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ALLIED HEALING CENTER INC

Doing business as

none applicable

Practice address

2104 Park Ave Ste 102D
Minneapolis, MN 55404-6607

Phone

(773) 681-4276

Fax

(612) 444-8956

NPI assigned

Jan 2, 2020

Last updated

Jan 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdikhaliq Jibril

Title

Owner/Manager

Phone

(773) 681-4276

Specialties & licenses 1

Addresses

Other names 1

• none applicable Doing business as

Locations

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1386283737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 PARK AVE STE 102D",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554046607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 PARK AVE STE 102D",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554046607",
            "telephone_number": "773-681-4276",
            "fax_number": "612-444-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED HEALING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "JIBRIL",
        "authorized_official_first_name": "ABDIKHALIQ",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "773-681-4276"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none applicable",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Early Intervention Provider Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.