Organization Active NPI

Homebridge Housing LLC

  • Case Management Agency
  • Maplewood, MN
National Provider Identifier
1730978495
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HOMEBRIDGE HOUSING LLC
Practice address
1886 McKnight Rd N
Maplewood, MN 55109-4852
Phone
(952) 652-5882
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Ahmed Abdisalan
Title
Ceo
Phone
(952) 652-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1886 McKnight Rd N
Maplewood, MN 55109-4852

Mailing address

1886 McKnight Rd N
Maplewood, MN 55109-4852
Phone (952) 652-5882

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1730978495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1886 MCKNIGHT RD N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094852",
            "telephone_number": "952-652-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1886 MCKNIGHT RD N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094852",
            "telephone_number": "952-652-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBRIDGE HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "ABDISALAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-652-5882"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.