Organization Active NPI

Beacon Housing Services

  • Case Management Agency
  • Minneapolis, MN
National Provider Identifier
1801692033
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BEACON HOUSING SERVICES
Practice address
1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885
Phone
(612) 547-6949
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Ibrahim S Mohamed
Title
Program Director
Phone
(612) 547-6949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885

Mailing address

1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885
Phone (612) 547-6949

Other names 1

  • Beacon Housing Services Doing business as

National Provider Directory

National Provider Directory

Locations

1330 Lagoon Ave
Fl 4
Minneapolis, MN 55408
Phone (612) 459-7771

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1801692033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LAGOON AVE FL 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082885",
            "telephone_number": "612-547-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LAGOON AVE FL 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082885",
            "telephone_number": "612-547-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOUSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "612-547-6949"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Housing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 19, 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.