Lifeborne Health LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LIFEBORNE HEALTH LLC

Practice address

39 Birnamwood Dr
Burnsville, MN 55337-6810

Phone

(612) 532-8513

NPI assigned

May 26, 2025

Organization subpart

No

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

Authorized official

Name

Ubah Osman Ali

Title

Owner

Phone

(218) 833-3666

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1417740275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BIRNAMWOOD DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376810",
            "telephone_number": "612-532-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BIRNAMWOOD DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376810",
            "telephone_number": "612-532-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBORNE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-25",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "UBAH",
        "authorized_official_middle_name": "OSMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-833-3666"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Burnsville, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.