KIDS SPACE LLC
NPI 1063105724
Community/Behavioral Health in Spring Lake Park, MN

Q: What is Kids Space LLC's NPI number?

The NPI number for Kids Space LLC is 1063105724. It was assigned to this organization in the NPPES registry on May 30, 2023.

Q: What is Kids Space LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Kids Space LLC was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 30, 2023

1440 85TH AVE NE UNIT D, SPRING LAKE PARK, MN 55432(612) 800-4509 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kids Space Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDS SPACE LLC (NPI 1063105724) is a healthcare organization registered as a community/behavioral health in Spring Lake Park, Minnesota and active in the NPI registry since May 2023. The organization lists Abdusamed M. Hassen, Owner, as its authorized official.

NPPES Registry Identity

NPI1063105724

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameKIDS SPACE LLC

Location Address1440 85TH AVE NE UNIT DSpring Lake Park, MN 55432-1323

Mailing Address1440 85th Ave Ne Unit DSpring Lake Park, MN 55432-1323 · (612) 800-4509

Phone(612) 800-4509

Organization SubpartNo

Authorized OfficialAbdusamed M. HassenOwner · (612) 800-4509

Enumeration DateMay 30, 2023

NPPES CertifiedMay 30, 2023

✔ NPI 1063105724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1440 85TH AVE NE UNIT D, Spring Lake Park, MN 55432

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kids Space LLC's NPI number?

The NPI number for Kids Space LLC is 1063105724. It was assigned to this organization in the NPPES registry on May 30, 2023.

Where is Kids Space LLC located?

Kids Space LLC is located at 1440 85th Ave NE Unit D, Spring Lake Park, MN 55432. The listed phone number is (612) 800-4509.

What is Kids Space LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Kids Space LLC was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.