Kubra Residential Center

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KUBRA RESIDENTIAL CENTER

Practice address

1711 W 143Rd St Apt 120
Burnsville, MN 55306-7989

Phone

(612) 224-4343

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Kawsar Abdi Jama

Title

Owner

Phone

(612) 224-4343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1750839569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W 143RD ST APT 120",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067989",
            "telephone_number": "612-224-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W 143RD ST APT 120",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067989",
            "telephone_number": "612-224-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBRA RESIDENTIAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "KAWSAR",
        "authorized_official_middle_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-224-4343",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Kreuger, CMT
• John Anthony Kriz, DO
• Joseph Kriz
• Sierra Kruythoff-Grace
• Kubra Home Care Inc
• Erika Kuefler
• Paul William Kuehl, OA
• Andrea Joy Kuenzel
• Kuipers Orthodontics
• Julie Cynthia Kulas, PAC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.