Organization Active NPI

Metropolitan Adult Health Services LLP

  • Case Management Agency
  • Brooklyn Center, MN
National Provider Identifier
1396443883
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
METROPOLITAN ADULT HEALTH SERVICES LLP
Practice address
3300 County Road 10 Ste 200a
Brooklyn Center, MN 55429-3065
Phone
(763) 447-1063
Fax
(763) 592-8099
NPI assigned
Feb 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Mr. Edmond R Gray
Title
Vice President for Administration
Phone
(176) 344-7106

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

3300 County Road 10 Ste 200a
Brooklyn Center, MN 55429-3065

Mailing address

3300 County Road 10 Ste 200a
Brooklyn Center, MN 55429-3065
Phone (763) 447-1063

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1396443883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10 STE 200A",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293065",
            "telephone_number": "763-447-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COUNTY ROAD 10 STE 200A",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293065",
            "telephone_number": "763-447-1063",
            "fax_number": "763-592-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN ADULT HEALTH SERVICES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR ADMINISTRATION",
        "authorized_official_telephone_number": "176-344-7106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

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