NPIMap

Organization Active NPI

South Metro Human Services Dba Radias Health

  • Case Management Agency
  • Minneapolis, MN
National Provider Identifier
1871664722
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH
Practice address
2021 E Hennepin Ave
Suite 330
Minneapolis, MN 55413-2700
Phone
(612) 435-7200
Fax
(612) 435-7201
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Tom Paul
Title
President
Phone
(651) 256-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2021 E Hennepin Ave
Suite 330
Minneapolis, MN 55413-2700

Mailing address

2021 East Hennepin Ave
Suite 330
Minneapolis, MN 55413
Phone (612) 435-7200

Other identifiers 1

IdentifierTypeStateIssuer
056650100MedicaidMN

Other names 1

  • Hennepin County ACT Other name

National Provider Directory

National Provider Directory
Tax ID family
South Metro Human Services- Fact20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

2021 E Hennepin Ave
Ste 330
Minneapolis, MN 55413
Phone (612) 435-7200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1871664722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 EAST HENNEPIN AVE",
            "address_2": "SUITE 330",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55413",
            "telephone_number": "612-435-7200",
            "fax_number": "612-435-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE",
            "address_2": "SUITE 330",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132700",
            "telephone_number": "612-435-7200",
            "fax_number": "612-435-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-256-1234"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056650100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hennepin County ACT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hennepin County ACT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.