Provider Demographics
NPI:1043056955
Name:CONNECT HOMES
Entity type:Organization
Organization Name:CONNECT HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MR
Authorized Official - Prefix:
Authorized Official - First Name:SIYAD
Authorized Official - Middle Name:ABDULLAHI
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:612-205-2178
Mailing Address - Street 1:1360 UNIVERSITY AVE W STE 104-308
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4086
Mailing Address - Country:US
Mailing Address - Phone:612-205-2178
Mailing Address - Fax:
Practice Address - Street 1:1360 UNIVERSITY AVE W STE 104-308
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4086
Practice Address - Country:US
Practice Address - Phone:612-205-2178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management