Afia Health MN

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

AFIA HEALTH MN

Practice address

15322 Galaxie Ave Ofc 203-G
Apple Valley, MN 55124-3152

Phone

(763) 910-1449

NPI assigned

Mar 13, 2025

Last updated

Mar 26, 2025By 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

Idris Mohamed Ahmed

Title

Owner

Phone

(763) 910-1449

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1821897570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15322 GALAXIE AVE OFC 203-G",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551243152",
            "telephone_number": "763-910-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15322 GALAXIE AVE OFC 203-G",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551243152",
            "telephone_number": "763-910-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFIA HEALTH MN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "IDRIS",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-910-1449"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.