Provider Demographics
NPI:1114150596
Name:CENTER FOR AFRICANS NEW TO AMERICA,INC.
Entity Type:Organization
Organization Name:CENTER FOR AFRICANS NEW TO AMERICA,INC.
Other - Org Name:MONTESSORI EARLY EDUCATION LEARNING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KATE
Authorized Official - Middle Name:U
Authorized Official - Last Name:ONYENEHO
Authorized Official - Suffix:
Authorized Official - Credentials:BHS
Authorized Official - Phone:952-356-2953
Mailing Address - Street 1:11712 CARTIER AVE S
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-3227
Mailing Address - Country:US
Mailing Address - Phone:952-356-2953
Mailing Address - Fax:
Practice Address - Street 1:3333 N 4TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-2615
Practice Address - Country:US
Practice Address - Phone:612-276-1535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CANA-CNTER FOR AFRICANS NEW TO AMERICA,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN365664251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN625OtherMNCAA- MINNESOTA COMMUNITY APPLICATION AGENT -MIDICAL ASSISTANT
MN625Medicaid