Organization Active NPI

Tasks Unlimited Training Center

  • Community/Behavioral Health Agency
  • St Louis Park, MN
National Provider Identifier
1679612337
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
802463-1-RMI Issued in MN
Legal business name
TASKS UNLIMITED TRAINING CENTER
Practice address
4029 Utica Ave S
St Louis Park, MN 55416-2904
Phone
(952) 928-9390
NPI assigned
Feb 6, 2007
Organization subpart
Yes
Parent organization
TASKS UNLIMITED INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Trevor B JohnsonNPI 1679860357
Title
Executive Director
Phone
(612) 871-3320

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 802463-1-RMI MN Primary

Addresses

Primary practice location

4029 Utica Ave S
St Louis Park, MN 55416-2904

Mailing address

2419 Nicollet Ave
Minneapolis, MN 55404-3450
Phone (612) 871-3320

Other identifiers 2

IdentifierTypeStateIssuer
802463-1-RMIOtherMNDHS LICENSE #
PENDINGMedicaidMN

National Provider Directory

National Provider Directory
Part of
Tasks Unlimited Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1679612337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043450",
            "telephone_number": "612-871-3320",
            "fax_number": "612-871-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 UTICA AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162904",
            "telephone_number": "952-928-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASKS UNLIMITED TRAINING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TASKS UNLIMITED INC.",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-871-3320"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "802463-1-RMI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE #",
            "identifier": "802463-1-RMI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.