Accord Care Service

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ACCORD CARE SERVICE

Practice address

401 Lookout Place
Columbia Heights, MN 55421

Phone

(612) 251-8122

NPI assigned

Jun 26, 2023

Organization subpart

No

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

Authorized official

Name

Abdirazak Ali Botan

Title

Manager/Owner

Phone

(612) 251-8122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1689350654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LOOKOUT PLACE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "612-251-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LOOKOUT PLACE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "612-251-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCORD CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-25",
        "status": "A",
        "authorized_official_last_name": "BOTAN",
        "authorized_official_first_name": "ABDIRAZAK",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "612-251-8122"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 26, 2023; 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.