OPEN MIND CENTER LLC – NPI #1245092485
Clinic/Center

OPEN MIND CENTER LLC is a AHC clinic located in FOREST LAKE, MN. NPPES recently assigned the NPI number 1245092485 to OPEN MIND CENTER LLC on January 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center specializing in Rehabilitation

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OPEN MIND CENTER LLC below.

NPI Profile for
OPEN MIND CENTER LLC

NPI Number
1245092485
Created

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OPEN MIND CENTER LLC
Primary location
880 15TH ST SW STE 2
FOREST LAKE, MN 55025-2123
Phone: (612) 859-1532 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MUBRAIG JAMA
OWNER
Phone: (612) 532-6087
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0400X
- Clinic/Center / Rehabilitation (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.