Community Partner

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY PARTNER

Practice address

2042 Wooddale Dr Ste 250
Woodbury, MN 55125-4421

Phone

(480) 787-7522

NPI assigned

Dec 28, 2023

Organization subpart

No

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

Authorized official

Name

Khadija Simba

Title

Managing Officer

Phone

(480) 787-7522

Specialties & licenses 1

Addresses

Other names 1

• Community Partner Doing business as

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1841069168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR STE 250",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254421",
            "telephone_number": "480-787-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR STE 250",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254421",
            "telephone_number": "480-787-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PARTNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "SIMBA",
        "authorized_official_first_name": "KHADIJA",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "480-787-7522"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Partner",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Partner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.