Organization Active NPI

Basic Needs

  • Early Intervention Provider Agency
  • Minneapolis, MN
National Provider Identifier
1417489212
Registry record updated Mar 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1009291 Issued in MN
Legal business name
BASIC NEEDS
Practice address
3333 N 4TH St Ste 25
Minneapolis, MN 55412-2615
Phone
(612) 767-8671
Fax
(612) 827-1215
NPI assigned
Mar 30, 2017
Last updated
Mar 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2018

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

Authorized official

Name
Cherleigh Ann Carpenter, MHPNPI 1558800136
Title
Administrator
Phone
(612) 998-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1009291 MN Primary

Addresses

Primary practice location

3333 N 4TH St Ste 25
Minneapolis, MN 55412-2615

Mailing address

3333 N 4TH St Ste 25
Minneapolis, MN 55412-2615
Phone (612) 767-8671

Other names 1

  • The National Family Council Other name

National Provider Directory

National Provider Directory

Locations

3333 N 4th St
#25
Minneapolis, MN 55412
Phone (612) 767-8671

3333 N 4th St
Ste 25
Minneapolis, MN 55412
Phone (612) 767-8671

5500 Nicollet Ave
Unit 19321
Minneapolis, MN 55419

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520121600000",
    "number": "1417489212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N 4TH ST STE 25",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122615",
            "telephone_number": "612-767-8671",
            "fax_number": "612-827-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N 4TH ST STE 25",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122615",
            "telephone_number": "612-767-8671",
            "fax_number": "612-827-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC NEEDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2018-03-04",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CHERLEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-998-6300",
        "authorized_official_credential": "MHP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MN",
            "license": "1009291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The National Family Council",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 4, 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.