MEDICARE: AFRICAN CENTER OF INNOVATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251T00000X	PACE Provider Organization

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	924643800020	OTHER	MN	NONPROFIT ORGANIZATION

General Provider Information

NPI Number	:	1720500390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFRICAN CENTER OF INNOVATION

Provider Business Mailing Address
First Line	:	2647 BLOOMINGTON AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1187
Country	:	US
Telephone Number	:	612-354-2758
Fax Number	:

Provider Business Practice Location Address
First Line	:	2647 BLOOMINGTON AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407
Country	:	US
Telephone Number	:	612-354-2758
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. HIIS BUNEYSTE ILMI
Credential	:	MBA
Telephone Number	:	612-345-7823

Provider Enumeration Date	:	07/14/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1649558131 — SEWA-AIFW
Practice Location Address:

3702 E LAKE ST
MINNEAPOLIS, MN
55406-2156

Practice Phone: 763-234-8301
Practice Fax:

1154795748 — ACE INTERPRETATION SERVICE
Practice Location Address:

415 CEDAR AVENUE SOUTH , #4
MINNEAPOLIS, MN
55454

Practice Phone: 612-483-9769
Practice Fax: 612-435-4934

1033575212 — TWIN CITIES TRANSLATORS & INTERPRETERS LLC
Practice Location Address:

620 CEDAR AVE S APT 301
MINNEAPOLIS, MN
55454-1226

Practice Phone: 612-636-2647
Practice Fax:

1992708705 — LUBBOCK REGIONAL MHMR CENTER
Practice Location Address:

1950 ASPEN AVE
LUBBOCK, TX
79404-1211

Practice Phone: 806-766-0213
Practice Fax:

1871295063 — MS. SONAM YANGZOM NP
Practice Location Address:

800 E 28TH ST STE 401
MINNEAPOLIS, MN
55407-3723

Practice Phone: 612-863-0200
Practice Fax:

1528830585 — NICOLE LEACH NP
Practice Location Address:

2925 CHICAGO AVE
MINNEAPOLIS, MN
55407-1321

Practice Phone: 612-863-4000
Practice Fax: 763-236-3026

Directions to “AFRICAN CENTER OF INNOVATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.