Organization Active NPI

Brillant Minds Services

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1861258469
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRILLANT MINDS SERVICES
Practice address
200 Larpenteur Ave E
Saint Paul, MN 55117-2339
Phone
(763) 339-8766
Fax
(651) 389-9401
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Mustafa Ali
Title
Owner
Phone
(651) 494-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

200 Larpenteur Ave E
Saint Paul, MN 55117-2339

Mailing address

1821 University Ave W Ste 120
Saint Paul, MN 55104-2811
Phone (763) 339-8766

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1861258469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 120",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042811",
            "telephone_number": "763-339-8766",
            "fax_number": "651-389-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LARPENTEUR AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172339",
            "telephone_number": "763-339-8766",
            "fax_number": "651-389-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLANT MINDS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-494-4577"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.