Abrahams Bosom Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ABRAHAMS BOSOM CARE LLC

Practice address

437 Tower St
Saint Paul, MN 55119-4052

Phone

(651) 428-9170

Fax

(651) 447-2098

NPI assigned

Aug 2, 2022

Last updated

Aug 30, 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

Abraham Wolfe

Title

Owner

Phone

(651) 428-9170

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1821725672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 TOWER ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194052",
            "telephone_number": "651-428-9170",
            "fax_number": "651-447-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 TOWER ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194052",
            "telephone_number": "651-428-9170",
            "fax_number": "651-447-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Winthrop St S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551195300",
            "country_code": "US",
            "telephone_number": "651-428-9170",
            "fax_number": "651-200-3039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABRAHAMS BOSOM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-428-9170"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Louise Wilcox Abraham, MD
• Dawn Abraham, RN
• Paul Allan Abraham, MD
• Quinnita Abraham, LICSW
• Susan Abraham
• George Abrahams, PH.D.
• Ajaia Suri Abramson, OTR/L
• Ahmed Dahir Abshir
• Aisha Abshir
• Buh A Absiya

• Assisted Living Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.