Active NPI
Affinity Health LLC
- Community/Behavioral Health Agency
- Roseville, MN
National Provider Identifier
1881359065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AFFINITY HEALTH LLC
- Practice address
- 2499 Rice St Ste 70
Roseville, MN 55113-3742 - Phone
- (612) 407-8681
- NPI assigned
- Nov 3, 2021
- Last updated
- Dec 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdullahi Rage
- Title
- Ce0
- Phone
- (612) 407-8681
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2499 Rice St Ste 70
Roseville, MN 55113-3742
Mailing address
4729 Grand Ave NE # 1-122
Columbia Heights, MN 55421-2648
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1635897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734134400000",
"number": "1881359065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4729 GRAND AVE NE # 1-122",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 RICE ST STE 70",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133742",
"telephone_number": "612-407-8681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFINITY HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-03",
"last_updated": "2024-12-14",
"certification_date": "2024-12-14",
"status": "A",
"authorized_official_last_name": "RAGE",
"authorized_official_first_name": "ABDULLAHI",
"authorized_official_title_or_position": "CE0",
"authorized_official_telephone_number": "612-407-8681"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.