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AFRICAN CENTER OF INNOVATION NPI 1720500390


NPI Information

NPI: 1720500390
Provider Name: AFRICAN CENTER OF INNOVATION

Doing Business As: AFRICAN CENTER OF INNOVATION

Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
2647 BLOOMINGTON AVE S
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 354-2758
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AFRICAN CENTER OF INNOVATION is a program of all inclusive care for the elderly pace provider organization in Minneapolis, MN. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. AFRICAN CENTER OF INNOVATION NPI is 1720500390. The provider is registered as an organization entity type.
The provider Is Doing Business As African Center Of Innovation.

The provider's business location address is:

2647 BLOOMINGTON AVE S
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 354-2758

The provider's authorized official is Hiis Buneyste Ilmi .
The authorized official title is Executive Director and has the following contact phone number (612) 345-7823.

The enumeration date for this NPI number is 7/14/2017 and was last updated on 7/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1924643800020OTHERMINNESOTANONPROFIT ORGANIZATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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