Urban Wellness LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

URBAN WELLNESS LLC

Practice address

2400 Blaisdell Ave Ste 302
Minneapolis, MN 55404-3331

Phone

(651) 925-9553

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Amal Abdifatah Ahmed

Title

Owner

Phone

(651) 925-9553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1982437901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 TRAILS END RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551232215",
            "telephone_number": "651-925-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BLAISDELL AVE STE 302",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043331",
            "telephone_number": "651-925-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AMAL",
        "authorized_official_middle_name": "ABDIFATAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-925-9553"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Urbain
• Urban Adult Day Care LLC
• Urban Haven Limited Liability Company
• Urban Homeworks Inc
• Urban Wellness
• Rebecca Rae Urban, B.A., M.A.
• Alexandra Urbanski
• Aarin Gabriela Urevig, RN
• Rebecca Urevig
• Sharifa Urey

• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.