Organization Active NPI

Cloud Home Health Care Services LLC

  • Adult Mental Health Clinic/Center
  • Saint Cloud, MN
National Provider Identifier
1568082428
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CLOUD HOME HEALTH CARE SERVICES LLC
Practice address
22 Wilson Ave NE Ste 204
Saint Cloud, MN 56304-0418
Phone
(317) 801-4115
NPI assigned
Apr 21, 2020
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Mohamed Abdullahi
Title
Owner
Phone
(317) 801-4115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

22 Wilson Ave NE Ste 204
Saint Cloud, MN 56304-0418

Mailing address

22 Wilson Ave NE Ste 204
Saint Cloud, MN 56304-0418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210218001294 MN Part B Supplier - Clinic/Group Practice 3476968736 Receives reassigned benefits from 3 practitioners
Practice locations: Hopkins, MN; Saint Cloud, MN

National Provider Directory

National Provider Directory

Locations

750 2nd St NE
Ste 100
Hopkins, MN 55343
Phone (317) 801-4115

22 Wilson Ave NE
Ste 208
Saint Cloud, MN 56304

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1568082428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WILSON AVE NE STE 204",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WILSON AVE NE STE 204",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040418",
            "telephone_number": "317-801-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "ABDULLAHI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-801-4115"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.