Minnesota Excellence in Learning Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MINNESOTA EXCELLENCE IN LEARNING ACADEMY

Practice address

9060 Zanzibar LN N
Maple Grove, MN 55311-1261

Phone

(763) 205-4396

Fax

(763) 999-6988

NPI assigned

Jun 13, 2017

Last updated

Jul 21, 2022By 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

Antonio Jose Zambrano

Title

Cfo

Phone

(763) 205-4396

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Minnesota Early Learning Academy Former legal business name

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821528936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9060 ZANZIBAR LN N.",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55311",
            "telephone_number": "763-205-4396",
            "fax_number": "763-999-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 ZANZIBAR LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111261",
            "telephone_number": "763-205-4396",
            "fax_number": "763-999-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA EXCELLENCE IN LEARNING ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "ZAMBRANO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "763-205-4396"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA TAX ID",
            "identifier": "3566645",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Early Learning Academy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Minnesota Counseling and Couples Center LLC
• Minnesota Dental Professionals, P.C. (Arbor Lakes Dental)
• Minnesota Dental Professionals, P.C.
• Minnesota Diagnostic Imaging Partners, LLC (Maple Grove Imaging Center)
• Minnesota Early Autism Project
• Minnesota Family Psychological Services LLC
• Minnesota Lee Dental Clinic, P.C.
• Minnesota Neonatal Physicians PA
• Minnesota Neonatal Specialists PLLC
• Minnesota Oncology Hematology PA

• Local Education Agency (LEA) in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.