NPIMap

Organization Active NPI

Absolute Behavioral Health LLC

  • Clinic/Center
  • Sauk Rapids, MN
National Provider Identifier
1699513143
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ABSOLUTE BEHAVIORAL HEALTH LLC
Practice address
940 Industrial Dr S Ste 109
Sauk Rapids, MN 56379-1271
Phone
(612) 438-7661
NPI assigned
Jul 18, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Sadiya Hussein HailleNPI 1245026467
Title
Owner
Phone
(612) 438-7661

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

940 Industrial Dr S Ste 109
Sauk Rapids, MN 56379-1271

Mailing address

940 Industrial Dr S Ste 109
Sauk Rapids, MN 56379-1271
Phone (612) 438-7661

National Provider Directory

National Provider Directory

Locations

940 Industrial Dr S
Ste 109
Sauk Rapids, MN 56379
Phone (612) 438-7661

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1699513143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 INDUSTRIAL DR S STE 109",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791271",
            "telephone_number": "612-438-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 INDUSTRIAL DR S STE 109",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791271",
            "telephone_number": "612-438-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "HAILLE",
        "authorized_official_first_name": "SADIYA",
        "authorized_official_middle_name": "HUSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-438-7661"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.