Organization Active NPI

Bluestoneinc

  • Community/Behavioral Health Agency
  • Blaine, MN
National Provider Identifier
1679465678
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BLUESTONEINC
Practice address
1521 93Rd LN NE
Blaine, MN 55449-4432
Phone
(651) 706-7416
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Rahmo Mohamed
Title
Owner
Phone
(651) 706-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1521 93Rd LN NE
Blaine, MN 55449-4432

Mailing address

13191 Isetta Cir NE
Blaine, MN 55449-7563
Phone (651) 706-7416

National Provider Directory

National Provider Directory

Locations

1521 93rd Ln NE
Blaine, MN 55449
Phone (651) 706-7416

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1679465678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13191 ISETTA CIR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497563",
            "telephone_number": "651-706-7416",
            "fax_number": "651-706-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 93RD LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494432",
            "telephone_number": "651-706-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONEINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "RAHMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-706-7416"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.