Organization Active NPI

Bright Care Autism

  • Early Intervention Provider Agency
  • Minneapolis, MN
National Provider Identifier
1619708625
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BRIGHT CARE AUTISM
Practice address
331 2ND Ave S Ste 401
Minneapolis, MN 55401-5504
Phone
(612) 404-8354
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Yassir Abdi
Title
Owner
Phone
(612) 404-8354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

331 2ND Ave S Ste 401
Minneapolis, MN 55401-5504

Mailing address

331 2ND Ave S Ste 401
Minneapolis, MN 55401-5504
Phone (612) 404-8354

National Provider Directory

National Provider Directory

Locations

331 2nd Ave S
Ste 401
Minneapolis, MN 55401
Phone (612) 404-8354

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1619708625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 2ND AVE S STE 401",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554015504",
            "telephone_number": "612-404-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 2ND AVE S STE 401",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554015504",
            "telephone_number": "612-404-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT CARE AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "YASSIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-404-8354"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "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 Aug 12, 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.