Loom Wellness Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

LOOM WELLNESS CENTER LLC

Practice address

1000 E 146TH St Ste 105
Burnsville, MN 55337-4655

Phone

(612) 407-1769

NPI assigned

May 30, 2025

Organization subpart

No

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

Authorized official

Name

Hodan Ibrahim Yusuf

Title

Director/Owner

Phone

(612) 407-1769

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1588557342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 146TH ST STE 105",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374655",
            "telephone_number": "612-407-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 146TH ST STE 105",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374655",
            "telephone_number": "612-407-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOM WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "HODAN",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "612-407-1769"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Burnsville, MN
• Providers in Burnsville, 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 May 30, 2025; 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.