Active NPI
Community Development Resource Center
- Home Health Agency
- Minneapolis, MN
National Provider Identifier
1750616603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Community Autism Therapy Center LLC
- Community Boarding Care
- Community Care Clinics of Minnesota
- Community Care Partners
- Community Development Center LLC
- Community Development Services LLC
- Community Emergency Service Meals on Wheels
- Community Empowerment
- Community First Choice, Inc.
- Community Healings Arts, Inc.
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.