Avicenna Care Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AVICENNA CARE SERVICES

Practice address

4124 Quebec Ave N Ste 202
New Hope, MN 55427-1240

Phone

(763) 264-3165

NPI assigned

Mar 14, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Abas Dakane

Title

Execuitve Director

Phone

(612) 481-9460

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1730948621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 QUEBEC AVE N STE 202",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 QUEBEC AVE N STE 202",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271240",
            "telephone_number": "763-264-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "DAKANE",
        "authorized_official_first_name": "ABAS",
        "authorized_official_title_or_position": "EXECUITVE DIRECTOR",
        "authorized_official_telephone_number": "612-481-9460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anointed Living
• Emily Antholz, PHARMD
• Kenechukwu C Anwah
• Apex Chiropractic D.C., PA
• Applied Behavior Therapy
• Tammy Bain, LMT.
• Saige Autumn Baker-Lietz, MOTR/L
• Tanya Batts-Paxson, P.T.
• Beacon Bridge Therapy
• Tanner James Bedard, D.C.

• Community/Behavioral Health Agency in New Hope, MN
• Providers in New Hope, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.