MN Care Access LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MN CARE ACCESS LLC

Practice address

912 E 24TH St Ste B208
Minneapolis, MN 55404-3879

Phone

(612) 636-8986

NPI assigned

Sep 24, 2019

Last updated

Sep 24, 2019By 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

Kassim Mohamed Abdille

Title

President

Phone

(612) 636-8986

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1396396065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E 24TH ST STE B208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043879",
            "telephone_number": "612-636-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E 24TH ST STE B208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043879",
            "telephone_number": "612-636-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN CARE ACCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "ABDILLE",
        "authorized_official_first_name": "KASSIM",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-636-8986"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mn-its.dhs.state.mn.us",
            "affiliation": "N",
            "address_1": "912 E 24th St Ste B208",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554043879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.