Organization Active NPI

Access Family Resource Center

  • Early Intervention Provider Agency
  • Saint Paul, MN
National Provider Identifier
1932663101
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ACCESS FAMILY RESOURCE CENTER
Doing business as
Access Family Resource Center
Practice address
1955 University Ave W Ste 213
Saint Paul, MN 55104-3592
Phone
(952) 457-8899
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Mohamed Ahmed
Title
Ceo
Phone
(952) 457-8991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1955 University Ave W Ste 213
Saint Paul, MN 55104-3592

Mailing address

1955 University Ave W Ste 213
Saint Paul, MN 55104-3592
Phone (952) 457-8991

Other identifiers 2

IdentifierTypeStateIssuer
01MedicaidMN
05MedicaidMN

Other names 1

  • ACCESS FAMILY RESOURCE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1955 University Ave W
Ste 213
Saint Paul, MN 55104
Phone (952) 457-8899

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1932663101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 UNIVERSITY AVE W STE 213",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043592",
            "telephone_number": "952-457-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 UNIVERSITY AVE W STE 213",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043592",
            "telephone_number": "952-457-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS FAMILY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-457-8991"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS FAMILY RESOURCE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.