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Community Boarding Care

NPI 1629498035ActiveOrganization· Custodial Care Facility· Minneapolis, MN

Custodial Care Facility in Minneapolis, Minnesota, registered in NPPES in April 2014. The authorized official on file is Mohamed Bidare, DIRECTOR, Owner.

Overview

NPI1629498035
StatusActive
Entity typeOrganization
NPI issuedApr 24, 2014
Last updated in NPPESApr 24, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Custodial Care Facility Primary311Z00000X—MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Custodial Care Facility providers in Minneapolis

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