Concept Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CONCEPT CARE LLC

Practice address

13995 Wellington Dr
Eden Prairie, MN 55347-1740

Phone

(952) 994-4347

NPI assigned

May 16, 2023

Organization subpart

No

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

Authorized official

Name

Abdullahi Yussuf Sheikh Nur

Title

Owner

Phone

(952) 994-4347

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1619668019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13995 WELLINGTON DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471740",
            "telephone_number": "952-994-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13995 WELLINGTON DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471740",
            "telephone_number": "952-994-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "SHEIKH NUR",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_middle_name": "YUSSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-994-4347"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.