Active NPI
Beacon Housing Services
- Case Management Agency
- Minneapolis, MN
National Provider Identifier
1801692033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.