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KUBRA RESIDENTIAL CENTER
NPI 1750839569
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Burnsville, MN

Active since September 21, 2016
1711 W 143RD ST APT 120, BURNSVILLE, MN 55306(612) 224-4343 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kubra Residential Center NPPES

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

KUBRA RESIDENTIAL CENTER (NPI 1750839569) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Burnsville, Minnesota and active in the NPI registry since September 2016. The organization lists Kawsar Abdi Jama, Owner, as its authorized official.

NPPES Registry Identity

NPI1750839569
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameKUBRA RESIDENTIAL CENTER
Location Address1711 W 143RD ST APT 120Burnsville, MN 55306-7989
Mailing Address1711 W 143rd St Apt 120Burnsville, MN 55306-7989 · (612) 224-4343
Phone(612) 224-4343
Organization SubpartNo
Authorized OfficialKawsar Abdi JamaOwner · (612) 224-4343
Enumeration DateSeptember 21, 2016
✔ NPI 1750839569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1711 W 143RD ST APT 120, Burnsville, MN 55306
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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 Kubra Residential Center's NPI number?

The NPI number for Kubra Residential Center is 1750839569. It was assigned to this organization in the NPPES registry on September 21, 2016.

Where is Kubra Residential Center located?

Kubra Residential Center is located at 1711 W 143rd St Apt 120, Burnsville, MN 55306. The listed phone number is (612) 224-4343.

What is Kubra Residential Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Kubra Residential Center was last updated on September 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.