Organization Active NPI

Primecare Midwest LLC

  • Counselor
  • Minneapolis, MN
National Provider Identifier
1427708692
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PRIMECARE MIDWEST LLC
Practice address
3601 Park Center Blvd Apt 605
Minneapolis, MN 55416-2562
Phone
(612) 876-6648
NPI assigned
Mar 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Abdinajib Ibrahim Hussein
Title
Owner/GM
Phone
(612) 876-6648

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X
Rehabilitation Hospital Unit 273Y00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3601 Park Center Blvd Apt 605
Minneapolis, MN 55416-2562

Mailing address

3601 Park Center Blvd Apt 605
Minneapolis, MN 55416-2562
Phone (612) 876-6648

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1427708692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 PARK CENTER BLVD APT 605",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162562",
            "telephone_number": "612-876-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 PARK CENTER BLVD APT 605",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162562",
            "telephone_number": "612-876-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MIDWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ABDINAJIB",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER/GM",
        "authorized_official_telephone_number": "612-876-6648"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 28, 2022; 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.