Organization Active NPI

Jmi Recuperative Care LLC

  • Recovery Care Clinic/Center
  • Eden Prairie, MN
National Provider Identifier
1689488389
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
JMI RECUPERATIVE CARE LLC
Practice address
12310 Singletree LN Apt 2344
Eden Prairie, MN 55344-7983
Phone
(585) 967-1794
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Fardowsa Farah Osman, NP
Title
Nurse Practitioner
Phone
(612) 245-8475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

12310 Singletree LN Apt 2344
Eden Prairie, MN 55344-7983

Mailing address

12310 Singletree LN Apt 2344
Eden Prairie, MN 55344-7983
Phone (585) 967-1794

Other names 1

  • JMI RECUPERATIVE CARE LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1689488389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 SINGLETREE LN APT 2344",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447983",
            "telephone_number": "585-967-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12310 SINGLETREE LN APT 2344",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447983",
            "telephone_number": "585-967-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMI RECUPERATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "FARDOWSA",
        "authorized_official_middle_name": "FARAH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "612-245-8475",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JMI RECUPERATIVE CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.