Healthcare Provider Details

I. General information

NPI: 1447986997
Provider Name (Legal Business Name): CARING HEARTS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13755 NICOLLET AVE STE 204
BURNSVILLE MN
55337-4045
US

IV. Provider business mailing address

13755 NICOLLET AVE STE 204
BURNSVILLE MN
55337-4045
US

V. Phone/Fax

Practice location:
  • Phone: 612-707-1801
  • Fax:
Mailing address:
  • Phone: 612-707-1801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YASMIN ABDI
Title or Position: CEO
Credential:
Phone: 612-707-1801