NPIMap

Organization Active NPI

Whitemountain LLC

  • Early Intervention Provider Agency
  • Champlin, MN
National Provider Identifier
1649963109
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
WHITEMOUNTAIN LLC
Practice address
7133 116TH PL N
Champlin, MN 55316-2879
Phone
(612) 483-3771
NPI assigned
May 31, 2023
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Titilope AkanoNPI 1699552976
Title
President
Phone
(612) 251-2366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X Primary
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

7133 116TH PL N
Champlin, MN 55316-2879

Mailing address

7133 116TH PL N
Champlin, MN 55316-2879
Phone (612) 483-3771

Other names 1

  • WhiteMountain llc Other name

National Provider Directory

National Provider Directory
Tax ID family
Whitemountain LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1649963109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 116TH PL N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162879",
            "telephone_number": "612-483-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 116TH PL N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162879",
            "telephone_number": "612-483-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEMOUNTAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "AKANO",
        "authorized_official_first_name": "TITILOPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-251-2366"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WhiteMountain llc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WhiteMountain llc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Champlin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.