Active NPI
Careplus Autism Center LLC
- Developmentally Disabled Services Day Training Agency
- Eagan, MN
National Provider Identifier
1821754292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- CAREPLUS AUTISM CENTER LLC
- Practice address
- 3344 Sherman CT Ste 106
Eagan, MN 55121-5009 - Phone
- (952) 492-1031
- NPI assigned
- Nov 10, 2021
- 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
- Mr. Abdifatah Abdullahi Mohamed, JD
- Title
- President
- Phone
- (952) 492-1031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
3344 Sherman CT Ste 106
Eagan, MN 55121-5009
Mailing address
4310 N Woodgate LN
Eagan, MN 55122-2277
Phone (206) 376-9171
Other names 1
- CarePlus Centers
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1821754292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 N WOODGATE LN",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222277",
"telephone_number": "206-376-9171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3344 SHERMAN CT STE 106",
"city": "EAGAN",
"state": "MN",
"postal_code": "551215009",
"telephone_number": "952-492-1031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREPLUS AUTISM CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-10",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "ABDIFATAH",
"authorized_official_middle_name": "ABDULLAHI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "952-492-1031",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CarePlus Centers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CarePlus Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 17, 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.