MN Spectrum Solutions

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MN SPECTRUM SOLUTIONS

Doing business as

MNSS

Practice address

11346 84TH PL N
Maple Grove, MN 55369-3067

Phone

(612) 735-3198

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By 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

Omar Hassan RobeNPI 1205407194

Title

Manager

Phone

(612) 735-3198

Specialties & licenses 3

Addresses

Other names 1

• MNSS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Hassan Robe, ACADEMIC DEGREE

  • Case Manager/Care Coordinator
  • Brooklyn Park, MN
  • NPI 1205407194
  Authorized official Same address or phone

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1508637505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11346 84TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693067",
            "telephone_number": "612-735-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11346 84TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693067",
            "telephone_number": "612-735-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN SPECTRUM SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "ROBE",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-735-3198"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MNSS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Early Intervention Provider Agency in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.