Organization Active NPI

Urban Haven Limited Liability Company

  • Recovery Care Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1497514574
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
URBAN HAVEN LIMITED LIABILITY COMPANY
Practice address
2900 Pleasant Ave Unit 324
Minneapolis, MN 55408-5512
Phone
(612) 759-4492
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Mr. Abdalla Yousef
Title
Owner/Ceo
Phone
(612) 759-4492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

2900 Pleasant Ave Unit 324
Minneapolis, MN 55408-5512

Mailing address

2900 Pleasant Ave Unit 324
Minneapolis, MN 55408-5512

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1497514574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PLEASANT AVE UNIT 324",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PLEASANT AVE UNIT 324",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085512",
            "telephone_number": "612-759-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN HAVEN LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "YOUSEF",
        "authorized_official_first_name": "ABDALLA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "612-759-4492",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 19, 2024; 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.