Abyan Care LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ABYAN CARE LLC

Practice address

4111 Central Ave NE Ste 208H
Columbia Heights, MN 55421-2953

Phone

(612) 223-5124

NPI assigned

Apr 23, 2022

Organization subpart

No

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

Authorized official

Name

Sharmarke Mohamud Ali

Title

Manager

Phone

(612) 275-6282

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Abyan Care 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.

• Abyan Care LLC

  • Homemaker
  • Columbia Heights, MN
  • NPI 1326779836
  NPD tax ID

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

{
    "created_epoch": "1650672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1679217954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 CENTRAL AVE NE STE 208H",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212953",
            "telephone_number": "612-223-5124",
            "fax_number": "763-777-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 CENTRAL AVE NE STE 208H",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212953",
            "telephone_number": "612-223-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABYAN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-23",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SHARMARKE",
        "authorized_official_middle_name": "MOHAMUD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-275-6282"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE SERVICES",
            "identifier": "A221955100",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mn-its.dhs.state.mn.us/",
            "affiliation": "N",
            "endpointDescription": "State MN DHS System",
            "address_1": "4111 Central Ave NE Ste 208H",
            "city": "Columbia Heights",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554212953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ilham Hussien Adem
• Abdiwali Abdullahi Aden

• Case Management Agency in Columbia Heights, MN
• Providers in Columbia Heights, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.