Organization Active NPI

Affinity Support Services

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1639743545
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AFFINITY SUPPORT SERVICES
Practice address
1405 Silver Lake Rd NW Ste 18
Saint Paul, MN 55112-9312
Phone
(612) 876-2884
NPI assigned
May 14, 2021
Last updated
May 14, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AFFINITY SUPPORT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Abdullahi Abdille
Title
President
Phone
(612) 876-2884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1405 Silver Lake Rd NW Ste 18
Saint Paul, MN 55112-9312

Mailing address

1405 Silver Lake Rd NW Ste 18
Saint Paul, MN 55112-9312

National Provider Directory

National Provider Directory
Tax ID family
Affinity Support Services2 organizations share this tax ID, including this one
Part of
Affinity Support Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1405 Silver Lake Rd NW
Ste 18
Saint Paul, MN 55112
Phone (612) 876-2884

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1639743545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW STE 18",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551129312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW STE 18",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551129312",
            "telephone_number": "612-876-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY SUPPORT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFINITY SUPPORT SERVICES",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "ABDILLE",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-876-2884"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.