NPIMap

Organization Active NPI

Family Care Behavioral Center LLC

  • Early Intervention Provider Agency
  • Waite Park, MN
National Provider Identifier
1699407148
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
FAMILY CARE BEHAVIORAL CENTER LLC
Practice address
74 10TH Ave S
Waite Park, MN 56387-1055
Phone
(612) 636-5139
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Hamdi Mohamud MohamedNPI 1033819735
Title
Owner
Phone
(612) 636-5139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

74 10TH Ave S
Waite Park, MN 56387-1055

Mailing address

74 10TH Ave S
Waite Park, MN 56387-1055
Phone (612) 636-5139

Other names 1

  • Family Care Behavioral Center, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

74 10th Ave S
Waite Park, MN 56387
Phone (612) 636-5139

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1699407148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 10TH AVE S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871055",
            "telephone_number": "612-636-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 10TH AVE S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871055",
            "telephone_number": "612-636-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "HAMDI",
        "authorized_official_middle_name": "MOHAMUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-636-5139"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Behavioral Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.