SAFE HARBOR LLC
NPI 1194488932
Clinic/Center - Health Service in Blaine, MN

Active since October 19, 2021
12031 TERRACE CT NE, BLAINE, MN 55434(612) 806-7860 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Safe Harbor Llc NPPES

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

SAFE HARBOR LLC (NPI 1194488932) is a healthcare organization registered as a health service in Blaine, Minnesota and active in the NPI registry since October 2021. The organization lists Umal-khayr Abdirahman Omar, Owner, as its authorized official.

NPPES Registry Identity

NPI1194488932
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSAFE HARBOR LLC
Location Address12031 TERRACE CT NEBlaine, MN 55434-3384
Mailing Address12031 Terrace Ct NeBlaine, MN 55434-3384 · (612) 806-7860
Organization SubpartNo
Authorized OfficialUmal-khayr Abdirahman OmarOwner · (612) 806-7860
Enumeration DateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
NPI 1194488932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
12031 TERRACE CT NE, Blaine, MN 55434

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
12031 TERRACE CT NE
BLAINE, MN 55434

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 Safe Harbor LLC's NPI number?

The NPI number for Safe Harbor LLC is 1194488932. It was assigned to this organization in the NPPES registry on October 19, 2021.

Where is Safe Harbor LLC located?

Safe Harbor LLC is located at 12031 Terrace Ct NE, Blaine, MN 55434. The listed phone number is (612) 806-7860.

What is Safe Harbor LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Safe Harbor LLC was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.