Active NPI
Compassionate Autism Center Inc
- Clinic/Center
- Woodbury, MN
National Provider Identifier
1891384590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- COMPASSIONATE AUTISM CENTER INC
- Practice address
- 1393 Surrey LN
Woodbury, MN 55125-9165 - Phone
- (651) 757-8881
- NPI assigned
- Jan 16, 2021
- 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
- Hassan Elmi
- Title
- Owner
- Phone
- (651) 757-8881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1393 Surrey LN
Woodbury, MN 55125-9165
Mailing address
1393 Surrey LN
Woodbury, MN 55125-9165
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | elmih101@gmail.com |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610755200000",
"number": "1891384590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1393 SURREY LN",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551259165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1393 SURREY LN",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551259165",
"telephone_number": "651-757-8881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSIONATE AUTISM CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-16",
"last_updated": "2021-01-16",
"certification_date": "2021-01-16",
"status": "A",
"authorized_official_last_name": "ELMI",
"authorized_official_first_name": "HASSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-757-8881"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "elmih101@gmail.com",
"affiliation": "N",
"address_1": "1393 Surrey Ln",
"city": "Woodbury",
"state": "MN",
"country_code": "US",
"postal_code": "551259165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.