Organization Active NPI

Park Place Unity Clinic LLC

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1669301602
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PARK PLACE UNITY CLINIC LLC
Practice address
2304 Park Ave # 100
Minneapolis, MN 55404-3754
Phone
(612) 715-4854
Fax
(612) 715-4854
NPI assigned
May 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Amina Abdullahi Mohamed, REGISTERED NURSENPI 1043169998
Title
Nurse Manager
Phone
(612) 715-4854

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

2304 Park Ave # 100
Minneapolis, MN 55404-3754

Mailing address

2304 Park Ave # 100
Minneapolis, MN 55404-3754
Phone (612) 715-4854

National Provider Directory

National Provider Directory

Locations

2304 Park Ave
#100
Minneapolis, MN 55404
Phone (612) 715-4854

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1669301602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 PARK AVE # 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043754",
            "telephone_number": "612-715-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 PARK AVE # 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043754",
            "telephone_number": "612-715-4854",
            "fax_number": "612-715-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE UNITY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "AMINA",
        "authorized_official_middle_name": "ABDULLAHI",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "612-715-4854",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 15, 2026; 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.