Organization Active NPI

Building Family Foundation

  • Community/Behavioral Health Agency
  • Bloomington, MN
National Provider Identifier
1861990459
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BUILDING FAMILY FOUNDATION
Practice address
8030 Old Cedar Ave S Ste 110
Bloomington, MN 55425-1214
Phone
(952) 454-0421
NPI assigned
Jan 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Fardowsa Ali
Title
Ceo
Phone
(952) 454-0421

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

8030 Old Cedar Ave S Ste 110
Bloomington, MN 55425-1214

Mailing address

1605 Cliff Rd E Apt 128
Burnsville, MN 55337-1332

National Provider Directory

National Provider Directory

Locations

8030 Old Cedar Ave S
Ste 110
Bloomington, MN 55425
Phone (952) 212-3479

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1861990459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 CLIFF RD E APT 128",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 OLD CEDAR AVE S STE 110",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251214",
            "telephone_number": "952-454-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING FAMILY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "FARDOWSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-454-0421"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.