Active NPI
Sunshine Health Service
- Adult Mental Health Clinic/Center
- Saint Anthony, MN
National Provider Identifier
1699140285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.