Organization Active NPI

Capitol Cafe Minneapolis LLC

  • Home Delivered Meals
  • Minneapolis, MN
National Provider Identifier
1962040352
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
CAPITOL CAFE MINNEAPOLIS LLC
Practice address
2417 E Franklin Ave
Minneapolis, MN 55406-1026
Phone
(612) 354-2515
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Mr. Abdirahman Mohamed Awad, CHEFF
Title
Manager
Phone
(612) 806-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

2417 E Franklin Ave
Minneapolis, MN 55406-1026

Mailing address

419 Cedar Ave S Unit 305
Minneapolis, MN 55454-1032
Phone (612) 806-8118

Other names 1

  • Capitol Cafe Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1962040352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 CEDAR AVE S UNIT 305",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541032",
            "telephone_number": "612-806-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 E FRANKLIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061026",
            "telephone_number": "612-354-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CAFE MINNEAPOLIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-806-8118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CHEFF"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Cafe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.