NPIMap

Organization Active NPI

Safeway LLC

  • Early Intervention Provider Agency
  • Waite Park, MN
National Provider Identifier
1821962267
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SAFEWAY LLC
Practice address
1233 7TH St S Apt E214
Waite Park, MN 56387-1778
Phone
(614) 615-7738
NPI assigned
Sep 30, 2025
Organization subpart
Yes
Parent organization
SAFEWAY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Abdulqadir Abdulahi
Title
Owner
Phone
(614) 615-7738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1233 7TH St S Apt E214
Waite Park, MN 56387-1778

Mailing address

1233 7TH St S Apt E214
Waite Park, MN 56387-1778
Phone (614) 615-7738

National Provider Directory

National Provider Directory
Tax ID family
Safeway LLC2 organizations share this tax ID, including this one
Part of
Safeway LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1821962267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 7TH ST S APT E214",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871778",
            "telephone_number": "614-615-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 7TH ST S APT E214",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871778",
            "telephone_number": "614-615-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFEWAY LLC",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "ABDULAHI",
        "authorized_official_first_name": "ABDULQADIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-615-7738"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.