Organization Active NPI

Community Development Services LLC

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1669114567
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COMMUNITY DEVELOPMENT SERVICES LLC
Practice address
333 Washington Ave N Ste 322
Minneapolis, MN 55401-1364
Phone
(612) 232-6152
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Kaltum Mohamed
Title
Owner
Phone
(612) 232-6152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

333 Washington Ave N Ste 322
Minneapolis, MN 55401-1364

Mailing address

333 Washington Ave N Ste 322
Minneapolis, MN 55401-1364

National Provider Directory

National Provider Directory

Locations

333 Washington Ave N
Ste 322
Minneapolis, MN 55401
Phone (612) 232-6152

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1669114567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N STE 322",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WASHINGTON AVE N STE 322",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554011364",
            "telephone_number": "612-232-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DEVELOPMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "KALTUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-232-6152"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Apr 11, 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.