Organization Active NPI

Amani Recovery Care

  • Recovery Care Clinic/Center
  • Columbia Heights, MN
National Provider Identifier
1942012497
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
AMANI RECOVERY CARE
Practice address
556 Huset Pkwy NE
Columbia Heights, MN 55421-5030
Phone
(901) 462-7207
NPI assigned
Jan 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Hamza Ali Mohamed
Title
Owner
Phone
(901) 462-7207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

556 Huset Pkwy NE
Columbia Heights, MN 55421-5030

Mailing address

556 Huset Pkwy NE
Columbia Heights, MN 55421-5030
Phone (901) 462-7207

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1942012497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 HUSET PKWY NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215030",
            "telephone_number": "901-462-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 HUSET PKWY NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215030",
            "telephone_number": "901-462-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANI RECOVERY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "HAMZA",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-462-7207"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "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 Jan 22, 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.