Stable Housing LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

STABLE HOUSING LLC

Practice address

1620 Lusitano St Apt 201
Shakopee, MN 55379-4688

Phone

(571) 488-4544

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Abdirizak Hashim Abdulahi

Title

Ceo/Owner

Phone

(571) 488-4544

Specialties & licenses 1

Addresses

Tax ID family

Stable Housing LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stable Housing LLC

  • Home Health Agency
  • Minneapolis, MN
  • NPI 1063276962
  NPD tax ID

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1992579643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 LUSITANO ST APT 201",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794688",
            "telephone_number": "571-488-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 LUSITANO ST APT 201",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794688",
            "telephone_number": "571-488-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STABLE HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "ABDULAHI",
        "authorized_official_first_name": "ABDIRIZAK",
        "authorized_official_middle_name": "HASHIM",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "571-488-4544"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kayln Rachele Stensrud, DO

• Counselor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.