Lifeline Care Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

LIFELINE CARE CENTER

Practice address

2817 Anthony LN S Ste 207
Saint Anthony, MN 55418-2490

Phone

(952) 564-8000

NPI assigned

Apr 7, 2025

Organization subpart

No

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

Authorized official

Name

Ahmed Ahmed

Title

Executive/Owner

Phone

(952) 564-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1942094727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ANTHONY LN S STE 207",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554182490",
            "telephone_number": "952-564-8000",
            "fax_number": "952-800-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ANTHONY LN S STE 207",
            "city": "SAINT ANTHONY",
            "state": "MN",
            "postal_code": "554182490",
            "telephone_number": "952-564-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "EXECUTIVE/OWNER",
        "authorized_official_telephone_number": "952-564-8000"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.