Arcane Autism Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ARCANE AUTISM CENTER LLC

Practice address

8011 34TH Ave S Ste 239B
Bloomington, MN 55425-1637

Phone

(612) 517-4163

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Hamsa Ahmed Omar

Title

Owner

Phone

(612) 517-4163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1871318543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 34TH AVE S STE 239B",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251637",
            "telephone_number": "612-517-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 34TH AVE S STE 239B",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251637",
            "telephone_number": "612-517-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCANE AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "HAMSA",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-517-4163"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Clinic/Center in Minnesota

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