Organization Active NPI

Positive Transition Health LLC

  • Community/Behavioral Health Agency
  • Eagan, MN
National Provider Identifier
1811733041
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
POSITIVE TRANSITION HEALTH LLC
Practice address
1892 Sunrise CT
Eagan, MN 55122-2245
Phone
(612) 246-2450
NPI assigned
Jul 8, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Kawsar Mohamud Yusuf
Title
Co-Owner
Phone
(612) 246-2450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1892 Sunrise CT
Eagan, MN 55122-2245

Mailing address

1892 Sunrise CT
Eagan, MN 55122-2245
Phone (612) 246-2450

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1811733041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 SUNRISE CT",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222245",
            "telephone_number": "612-246-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 SUNRISE CT",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222245",
            "telephone_number": "612-246-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE TRANSITION HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "KAWSAR",
        "authorized_official_middle_name": "MOHAMUD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-246-2450"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.