Active NPI
Kids Care Inc
- Community/Behavioral Health Agency
- Minneapolis, MN
National Provider Identifier
1649928730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- KIDS CARE INC
- Practice address
- 2021 E Hennepin Ave Ste 187
Minneapolis, MN 55413-2187 - Phone
- (763) 321-5694
- NPI assigned
- Mar 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nusayba R Farah
- Title
- Director
- Phone
- (763) 321-5694
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2021 E Hennepin Ave Ste 187
Minneapolis, MN 55413-2187
Mailing address
2021 E Hennepin Ave Ste 187
Minneapolis, MN 55413-2187
Phone (763) 321-5694
National Provider Directory
National Provider DirectoryLocations
2021 E Hennepin Ave
Ste 1004
Minneapolis, MN 55413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660089600000",
"number": "1649928730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 E HENNEPIN AVE STE 187",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132187",
"telephone_number": "763-321-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 E HENNEPIN AVE STE 187",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554132187",
"telephone_number": "763-321-5694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-17",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A",
"authorized_official_last_name": "FARAH",
"authorized_official_first_name": "NUSAYBA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "763-321-5694"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"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 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.