Healthcare Provider Details

I. General information

NPI: 1386451037
Provider Name (Legal Business Name): NEXTPASS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 1ST AVE NE
BUFFALO MN
55313-1515
US

IV. Provider business mailing address

330 2ND AVE S STE 200-1391
MINNEAPOLIS MN
55401-5500
US

V. Phone/Fax

Practice location:
  • Phone: 651-300-4888
  • Fax: 651-395-4559
Mailing address:
  • Phone: 651-300-4888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ABUBAKAR MOHAMED SIMBA
Title or Position: CEO
Credential:
Phone: 480-382-8868