SOUTH LAKE AUTISM CENTER L. L. C.
NPI 1992521116
Clinic/Center in Saint Paul, MN

Q: What is South Lake Autism Center L. L. C.'s NPI number?

The NPI number for South Lake Autism Center L. L. C. is 1992521116. It was assigned to this organization in the NPPES registry on December 3, 2024.

Q: What is South Lake Autism Center L. L. C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since December 03, 2024

2147 UNIVERSITY AVE W STE 109, SAINT PAUL, MN 55114(617) 992-1536 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2025, Dec 3, 2024 (2 updates tracked since 2024).

On this page

About South Lake Autism Center L. L. C. NPPES

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

SOUTH LAKE AUTISM CENTER L. L. C. (NPI 1992521116) is a healthcare organization registered as a clinic/center in Saint Paul, Minnesota and active in the NPI registry since December 2024. The organization lists Shikhdoon Jama Warsame, Owner, as its authorized official.

NPPES Registry Identity

NPI1992521116

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSOUTH LAKE AUTISM CENTER L. L. C.

Location Address2147 UNIVERSITY AVE W STE 109Saint Paul, MN 55114-1326

Mailing Address2147 University Ave W Ste 108Saint Paul, MN 55114-1326 · (617) 992-1536

Phone(617) 992-1536

Organization SubpartNo

Authorized OfficialShikhdoon Jama WarsameOwner · (617) 992-1536

Enumeration DateDecember 3, 2024

Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2025

✔ NPI 1992521116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2147 UNIVERSITY AVE W STE 109, Saint Paul, MN 55114

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

METRO HOME CARE LLC

Home Health

2147 UNIVERSITY AVE W STE 109
SAINT PAUL, MN 55114

Ramsey County (612) 999-5700

IDIL HASSAN

Behavior Technician

2147 UNIVERSITY AVE W STE 109
SAINT PAUL, MN 55114

Ramsey County (617) 992-1536

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 South Lake Autism Center L. L. C.'s NPI number?

The NPI number for South Lake Autism Center L. L. C. is 1992521116. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is South Lake Autism Center L. L. C. located?

South Lake Autism Center L. L. C. is located at 2147 University Ave W Ste 109, Saint Paul, MN 55114. The listed phone number is (617) 992-1536.

What is South Lake Autism Center L. L. C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for South Lake Autism Center L. L. C. was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.