Organization Active NPI

Kids Care Inc

  • Community/Behavioral Health Agency
  • Minneapolis, MN
National Provider Identifier
1649928730
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 10, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.