Active NPI
Basic Needs
- Early Intervention Provider Agency
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 1009291
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cherleigh Ann Carpenter, MHP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Minneapolis, MN
- NPI 1558800136
Single Specialty
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.