Organization Active NPI

United Wellness Center LLC

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1700643822
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNITED WELLNESS CENTER LLC
Practice address
2614 Nicollet Ave Ste 208
Minneapolis, MN 55408-1628
Phone
(952) 228-1693
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Hodan Mohamed YussufNPI 1821778275
Title
Owner
Phone
(952) 228-1693

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 Primary

Addresses

Primary practice location

2614 Nicollet Ave Ste 208
Minneapolis, MN 55408-1628

Mailing address

2614 Nicollet Ave Ste 208
Minneapolis, MN 55408-1628
Phone (952) 228-1693

National Provider Directory

National Provider Directory

Locations

2614 Nicollet Ave
Ste 208
Minneapolis, MN 55408
Phone (612) 453-6527

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1700643822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 NICOLLET AVE STE 208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081628",
            "telephone_number": "952-228-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 NICOLLET AVE STE 208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081628",
            "telephone_number": "952-228-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "YUSSUF",
        "authorized_official_first_name": "HODAN",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-228-1693"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.