KUBRA RESIDENTIAL CENTER


Address: 1711 W 143rd St Apt 120, Burnsville, MN 55306-7989
Phone: 6122244343

KUBRA RESIDENTIAL CENTER (NPI# 1750839569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750839569
Entity Type Organization
Organization Name KUBRA RESIDENTIAL CENTER
Practice Address 1711 W 143rd St Apt 120
Burnsville
MN 55306-7989
Practice Telephone 6122244343
Mailing Telephone 6122244343
Enumeration Date 2016-09-21
Last Update Date 2016-09-21
Authorized Official Name MS. KAWSAR ABDI JAMA (OWNER)
Authorized Official Telephone 6122244343
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 1711 W 143RD ST APT 120
City BURNSVILLE
State MN
Zip Code 55306-7989

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568095438 Roers Senior Living Burnsville LLC Assisted Living Facility 14401 Grand Avenue, Burnsville, MN 55306 2020-02-19
1639717986 Kaylee Nadine Frederickson Speech-Language Pathologist 14451 Grand Ave S, Burnsville, MN 55306 2019-12-17
1780236893 Nichole Arn Occupational Therapist 14301 Ewing Avenue, Burnsville, MN 55306 2019-07-10
1942708516 Nicholas John Solverson Chiropractor 14671 Chicago Ave Apt 6, Burnsville, MN 55306 2018-01-29
1164978672 Benjamin Halpern Dentist 14344 Burnhaven Drive, Burnsville, MN 55306 2016-08-26
1528478336 Michael Patrick Hennes Chiropractor 14587 Grand Ave Ste 112, Burnsville, MN 55306 2014-05-01
1467799924 Dentalign, Pa Dentist 2999 County Road 42 W Suite 138, Burnsville, MN 55306 2013-01-03
1417205436 Heather Heide Student in an Organized Health Care Education/Training Program 14750 Lac Lavon Dr, Burnsville, MN 55306 2012-08-23
1427243898 Rehana Leila Ahmed-saucedo Dermatology 14305 Southcross Dr, Suite 110, Burnsville, MN 55306 2007-09-10
1881815397 Kyle James Colbert Chiropractor 745 Crystal Lake Rd East, Burnsville, MN 55306 2007-05-01
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891198792 Misti Farrow Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12751 Cty Rd 5 Suite 172, Burnsville, MN 55337 2014-10-06
1225170343 Yancey Residential Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 35 Celo St, Burnsville, NC 28714-3008 2007-02-13
1376924803 Rha Health Services Nc, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 35 Celo St, Burnsville, NC 28714-3008 2015-06-10
1285819029 Yancey Residential Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 35 Celo St, Burnsville, NC 28714-3008 2007-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184244527 Kam Homecare Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1500 Nicollet Ave Apt 305, Minneapolis, MN 55403-2724 2020-04-24
1477117885 Kelly Rae Martin Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 2019-05-01
1295291573 Tricia Bastian Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 607 4th St S, Walker, MN 56484-6400 2019-02-12
1881163632 Jacob Wrich Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 603 3rd St W Apt 1, Hastings, MN 55033-1127 2018-11-21
1003394479 Malissa Ann Costanzo Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 844 8th Ave Se, Forest Lake, MN 55025 2018-07-30
1154814564 Laurie K. Tazelaar-williams Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5253 W Bald Eagle Blvd, White Bear Lake, MN 55110-6532 2018-06-11
1205340577 Dale Conrad Forslin Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1029 Highway 65 Ste 107, Braham, MN 55006-3360 2017-11-25
1952831026 Noble Senior Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1094 University Ave W, Saint Paul, MN 55104 2017-06-12
1407396336 Viko Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5651 69th Ave N, 203, Brooklyn Park, MN 55429-1579 2017-02-25
1972052702 Marie-noel Hiol-hiol Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 14642 Quartz Ter Nw, Ramsey, MN 55303-4581 2016-09-21
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Competitor

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City BURNSVILLE
Zip Code 55306

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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