NPI 1679217954 · live from the CMS NPI Registry
Abyan Care LLC
Case Management in Columbia Heights, MN. National Provider Identifier 1679217954, active.
NPI record
| NPI | 1679217954 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Case Management 251B00000X |
| Practice location | 4111 Central Ave Ne Ste 208h, Columbia Heights, MN 55421 |
| Practice phone | 612-223-5124 |
| Enumerated | April 23, 2022 |
| Last updated | July 8, 2022 |
| Authorized official | Sharmarke Ali, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | — |
| Custodial Care Facility | 311Z00000X | — |
| Case Management primary | 251B00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.