Organization Active NPI

Somali Senior Center LLC

  • Adult Care Home Facility
  • Minneapolis, MN
National Provider Identifier
1679894364
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
10565881 Issued in MN
Legal business name
SOMALI SENIOR CENTER LLC
Practice address
3015 Cedar Ave S
Minneapolis, MN 55407-1805
Phone
(612) 709-3686
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Asha Hibad
Title
Owner
Phone
(612) 709-3686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 10565881 MN Primary

Addresses

Primary practice location

3015 Cedar Ave S
Minneapolis, MN 55407-1805

Mailing address

3015 Cedar Ave S
Minneapolis, MN 55407-1805
Phone (612) 709-3686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1679894364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071805",
            "telephone_number": "612-709-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071805",
            "telephone_number": "612-709-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMALI SENIOR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "HIBAD",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-709-3686"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "10565881",
            "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 Jun 16, 2010; 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.