Active NPI
Khalid Mohamed Abdullahi
- In Home Supportive Care Agency
- Saint Cloud, MN
National Provider Identifier
1861290207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 1160 Suncrest Dr Apt 310
Saint Cloud, MN 56301-0015 - Phone
- (612) 806-6333
- NPI assigned
- Mar 3, 2025
- Last updated
- Oct 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Physical Disabilities Respite Care | 385HR2065X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
1160 Suncrest Dr Apt 310
Saint Cloud, MN 56301-0015
Mailing address
1160 Suncrest Dr Apt 310
Saint Cloud, MN 56301-0015
Phone (612) 806-6333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Care Health LLC | Community/Behavioral Health | Current | Accepting new patients |
| Thrive Autism Center L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Saint Cloud, MN
- NPI 1699642330
Community/Behavioral Health
-
- Clinic/Center
- Waite Park, MN
- NPI 1023794229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1861290207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 SUNCREST DR APT 310",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563010015",
"telephone_number": "612-806-6333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 SUNCREST DR APT 310",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563010015",
"telephone_number": "612-806-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULLAHI",
"first_name": "KHALID",
"middle_name": "MOHAMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-03",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.