Organization Active NPI

Community Development Resource Center

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1750616603
Registry record updated Oct 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMUNITY DEVELOPMENT RESOURCE CENTER
Practice address
1005 E 24TH St
Minneapolis, MN 55404-3833
Phone
(612) 636-8986
NPI assigned
Oct 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2009

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

Authorized official

Name
Kassim Abdille
Title
Treasurer
Phone
(612) 636-8986

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MN Primary
In Home Supportive Care Agency 253Z00000X MN

Addresses

Primary practice location

1005 E 24TH St
Minneapolis, MN 55404-3833

Mailing address

1005 E 24TH St
Minneapolis, MN 55404-3833

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255132800000",
    "number": "1750616603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E 24TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E 24TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043833",
            "telephone_number": "612-636-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DEVELOPMENT RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-10",
        "last_updated": "2009-10-10",
        "status": "A",
        "authorized_official_last_name": "ABDILLE",
        "authorized_official_first_name": "KASSIM",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "612-636-8986"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 10, 2009; 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.