Organization Active NPI

Lifeline Learning Center LLC

  • Clinic/Center
  • Saint Cloud, MN
National Provider Identifier
1972321545
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIFELINE LEARNING CENTER LLC
Practice address
37 28TH Ave N Ste A119
Saint Cloud, MN 56303-4640
Phone
(320) 345-8908
NPI assigned
Oct 1, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Nimo Hassan JamaNPI 1003608795
Title
Owner
Phone
(320) 345-8908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

37 28TH Ave N Ste A119
Saint Cloud, MN 56303-4640

Mailing address

37 28TH Ave N Ste A119
Saint Cloud, MN 56303-4640
Phone (320) 345-8908

National Provider Directory

National Provider Directory

Locations

37 28th Ave N
Ste A119
Saint Cloud, MN 56303
Phone (320) 345-8908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1972321545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 28TH AVE N STE A119",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034640",
            "telephone_number": "320-345-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 28TH AVE N STE A119",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034640",
            "telephone_number": "320-345-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE LEARNING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "NIMO",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-345-8908"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.