Envision Center LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

ENVISION CENTER LLC

Practice address

860 Blue Gentian Rd Ste 200
Eagan, MN 55121-1564

Phone

(952) 457-3307

NPI assigned

Sep 19, 2024

Organization subpart

No

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

Authorized official

Name

Ali Mahad Hussein

Title

Ceo

Phone

(952) 457-3307

Specialties & licenses 1

Addresses

Practitioners 3

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

• Soubane Omar Elmi

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1336932532
  NPD
• Hodan Abdirahman Hassen

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1851195135
  NPD
• Munteha A Mohammed

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1306639596
  NPD

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1497572622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 22ND AVE S UNIT 108",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554074023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BLUE GENTIAN RD STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211564",
            "telephone_number": "952-457-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "MAHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-457-3307"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Endrizzi, OTRL
• Amy Ruth Miller Engelhard, LMFT
• Ryan Wayne Engelstad
• Natalie Rose Avey Enno, MHP
• Amanda Enstrom, M.A., CCC-SLP
• Envisioning Wellness LLC
• Ashley Eppinger, NP
• Eloise Erasmus, PH.D
• Cassandra Donielle Erickson, PT
• Jack Erickson, DC

• Developmental Disabilities Clinic/Center in Eagan, MN
• Providers in Eagan, MN by specialty
• Developmental Disabilities Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.