Organization Active NPI

Sunshine Health Service

  • Adult Mental Health Clinic/Center
  • Saint Anthony, MN
National Provider Identifier
1699140285
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SUNSHINE HEALTH SERVICE
Practice address
3055 Old Highway 8
Suite # Ll85A
Saint Anthony, MN 55418-2500
Phone
(612) 644-6723
NPI assigned
Dec 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Mr. Mohamed Aden
Title
Manager
Phone
(612) 644-6723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3055 Old Highway 8
Suite # Ll85A
Saint Anthony, MN 55418-2500

Mailing address

3055 Old Highway 8
Suite # Ll85A
Saint Anthony, MN 55418
Phone (612) 644-6723

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1699140285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8",
            "address_2": "SUITE # LL85A",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "55418",
            "telephone_number": "612-644-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8",
            "address_2": "SUITE # LL85A",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "612-644-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-644-6723",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Anthony, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.