Organization Active NPI

Nursingbridge LLC

  • Nursing Care Agency
  • New Brighton, MN
National Provider Identifier
1902690084
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
NURSINGBRIDGE LLC
Practice address
1401 Silver Lake Rd NW Ste 7
New Brighton, MN 55112-9307
Phone
(612) 224-1116
Fax
(612) 605-0089
NPI assigned
Apr 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Authorized official

Name
Ayan Khalif Hassan, RNNPI 1164236600
Title
Executive Director
Phone
(612) 224-1116

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1401 Silver Lake Rd NW Ste 7
New Brighton, MN 55112-9307

Mailing address

1401 Silver Lake Rd NW Ste 7
New Brighton, MN 55112-9307
Phone (612) 224-1116

National Provider Directory

National Provider Directory

Locations

1401 Silver Lake Rd NW
Ste 7
New Brighton, MN 55112
Phone (612) 224-1116

Practitioners & affiliated clinicians

Practitioners 1

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": "1743811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743811200000",
    "number": "1902690084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SILVER LAKE RD NW STE 7",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129307",
            "telephone_number": "612-224-1116",
            "fax_number": "612-605-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SILVER LAKE RD NW STE 7",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129307",
            "telephone_number": "612-224-1116",
            "fax_number": "612-605-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSINGBRIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-05",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "AYAN",
        "authorized_official_middle_name": "KHALIF",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-224-1116",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; 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.