Anishinaabe Endaad LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ANISHINAABE ENDAAD LLC

Practice address

3027 Queen Ave N
Minneapolis, MN 55411-1060

Phone

(763) 464-4137

NPI assigned

Oct 5, 2020

Last updated

Oct 5, 2020By 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

Adam Fairbanks

Title

Ceo

Phone

(763) 464-4137

Specialties & licenses 2

Addresses

Tax ID family

Anishinaabe Endaad LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Anishinaabe Endaad LLC

  • Case Management Agency
  • Mahnomen, MN
  • NPI 1194490763
  NPD tax ID
• Anishinaabe Endaad LLC

  • Case Management Agency
  • Robbinsdale, MN
  • NPI 1700658507
  NPD tax ID

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1770180606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 ZENITH AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222347",
            "telephone_number": "763-464-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 QUEEN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111060",
            "telephone_number": "763-464-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4309 Queen Ave N",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554121105",
            "country_code": "US",
            "telephone_number": "763-464-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANISHINAABE ENDAAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-464-4137"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Kathryn Angst
• Mosope Ani
• Katherine Anicescu
• Falilat Boyede Anifowoshe, MD
• Flora Kafui Anifrani
• Anita Doyle PA
• Afshan Anjum, M.B. B.S.
• Zurya Shakeel Anjum, MBBS
• Jacob Scott Ankeny, MD
• Amanda Sue Anker, MA, LADC

• Case Management Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.