Affinity Care Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

AFFINITY CARE SERVICES

Practice address

1405 Lilac Dr N Ste 160K
Golden Valley, MN 55422-4535

Phone

(612) 310-0348

Fax

(612) 844-0588

NPI assigned

Jan 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Abdirizak IbrahimNPI 1144685660

Title

Owner/Manager

Phone

(612) 310-0348

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdirizak Ibrahim

  • Driver
  • Minneapolis, MN
  • NPI 1144685660
  NPD Authorized official

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1639884174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 160K",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224535",
            "telephone_number": "612-310-0348",
            "fax_number": "612-844-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N STE 160K",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224535",
            "telephone_number": "612-310-0348",
            "fax_number": "612-844-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ABDIRIZAK",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "612-310-0348",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.