Organization Active NPI

Baraka Family Care LLC

  • Health Maintenance Organization
  • Savage, MN
National Provider Identifier
1386482750
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
BARAKA FAMILY CARE LLC
Practice address
4135 W 141St St
Savage, MN 55378-2665
Phone
(507) 369-4905
NPI assigned
Jul 18, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Abdirizak Hirsi
Title
Manager
Phone
(507) 369-4905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary

Addresses

Primary practice location

4135 W 141St St
Savage, MN 55378-2665

Mailing address

4135 W 141St St
Savage, MN 55378-2665

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1386482750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 W 141ST ST",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 W 141ST ST",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782665",
            "telephone_number": "507-369-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARAKA FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "HIRSI",
        "authorized_official_first_name": "ABDIRIZAK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "507-369-4905"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.