Organization Active NPI

Iftiin Autism Center LLC

  • Clinic/Center
  • Columbia Heights, MN
National Provider Identifier
1922819747
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IFTIIN AUTISM CENTER LLC
Practice address
1069 Grandview Way NE Apt 101
Columbia Heights, MN 55421-3372
Phone
(612) 402-1120
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Fardowsa Yahye Abdinoor
Title
Owner
Phone
(612) 402-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1069 Grandview Way NE Apt 101
Columbia Heights, MN 55421-3372

Mailing address

1069 Grandview Way NE Apt 101
Columbia Heights, MN 55421-3372
Phone (612) 402-1120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1922819747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 GRANDVIEW WAY NE APT 101",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213372",
            "telephone_number": "612-402-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 GRANDVIEW WAY NE APT 101",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554213372",
            "telephone_number": "612-402-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFTIIN AUTISM CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "ABDINOOR",
        "authorized_official_first_name": "FARDOWSA",
        "authorized_official_middle_name": "YAHYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-402-1120"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.