African Center of Innovation

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

AFRICAN CENTER OF INNOVATION

Doing business as

African Center of Innovation

Practice address

2647 Bloomington Ave S
Minneapolis, MN 55407

Phone

(612) 354-2758

NPI assigned

Jul 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Hiis Buneyste Ilmi, MBA

Title

Executive Director

Phone

(612) 345-7823

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AFRICAN CENTER OF INNOVATION Doing business as

Locations

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720500390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071187",
            "telephone_number": "612-354-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 BLOOMINGTON AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-354-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFRICAN CENTER OF INNOVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ILMI",
        "authorized_official_first_name": "HIIS",
        "authorized_official_middle_name": "BUNEYSTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-345-7823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONPROFIT ORGANIZATION",
            "identifier": "924643800020",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFRICAN CENTER OF INNOVATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AFRICAN CENTER OF INNOVATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• African Immigrants Community Services
• African Women Adult Care
• African Women Adult Care, LLC (AWAC Transportation)

• PACE Provider Organization in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• PACE Provider Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.