Organization Active NPI

Safari Center LLC

  • Adult Day Care Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1558623173
Registry record updated Jun 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SAFARI CENTER LLC
Practice address
3010 4TH Ave S
Minneapolis, MN 55408-2409
Phone
(952) 201-0584
NPI assigned
Jun 10, 2012
Last updated
Jun 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2012

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

Authorized official

Name
Abdirahman Ahmed
Title
President
Phone
(952) 201-0584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

3010 4TH Ave S
Minneapolis, MN 55408-2409

Mailing address

3010 4TH Ave S
Minneapolis, MN 55408-2409
Phone (952) 201-0584

National Provider Directory

National Provider Directory

Locations

3010 4th Ave S
Minneapolis, MN 55408
Phone (612) 232-3417

NPI Registry JSON

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

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339286400000",
    "number": "1558623173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 4TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082409",
            "telephone_number": "952-201-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 4TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082409",
            "telephone_number": "952-201-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFARI CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-10",
        "last_updated": "2012-06-10",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-201-0584"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day 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 Jun 10, 2012; 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.