Abib Serene Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ABIB SERENE HEALTH LLC

Practice address

4124 Quebec Ave N Ste 270C
New Hope, MN 55427-1235

Phone

(612) 707-2396

NPI assigned

Mar 6, 2025

Last updated

May 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ibrahim Iman

Title

Owner

Phone

(612) 707-2396

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1457159121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 QUEBEC AVE N STE 270C",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 QUEBEC AVE N STE 270C",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271235",
            "telephone_number": "612-707-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIB SERENE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "IMAN",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-707-2396"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in New Hope, MN
• Providers in New Hope, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.