Organization Active NPI

Kindhearts Autism Center LLC

  • Early Intervention Provider Agency
  • New Brighton, MN
National Provider Identifier
1487254173
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
KINDHEARTS AUTISM CENTER LLC
Practice address
584 10TH Ave SW
New Brighton, MN 55112-7606
Phone
(614) 460-0045
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Kaltun AbdikaraniNPI 1750913687
Title
Co-Owner
Phone
(614) 460-0045

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 Primary

Addresses

Primary practice location

584 10TH Ave SW
New Brighton, MN 55112-7606

Mailing address

584 10TH Ave SW
New Brighton, MN 55112-7606
Phone (614) 460-0045

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1487254173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 10TH AVE SW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127606",
            "telephone_number": "614-460-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 10TH AVE SW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127606",
            "telephone_number": "614-460-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDHEARTS AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "ABDIKARANI",
        "authorized_official_first_name": "KALTUN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "614-460-0045"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.