Twin Cities Restorative Health LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

TWIN CITIES RESTORATIVE HEALTH LLC

Practice address

2112 Elliot Ave
Minneapolis, MN 55404-6612

Phone

(612) 895-0199

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Rouman Osman Ilmi

Title

Owner

Phone

(612) 895-0199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1972363307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 HIAWATHA AVE APT 438",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554064452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 ELLIOT AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554046612",
            "telephone_number": "612-895-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES RESTORATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "ILMI",
        "authorized_official_first_name": "ROUMAN",
        "authorized_official_middle_name": "OSMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-895-0199"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Public Health or Welfare Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.