OrganizationActive
Kids Space LLC
NPI 1063105724 · Community/Behavioral Health Agency · Spring Lake Park, MN
Kids Space LLC is a Community/Behavioral Health Agency organization in Spring Lake Park, MN (NPI 1063105724).
Provider details
- NPI number
- 1063105724
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Abdusamed Hassen, Owner(612) 800-4509
Specialties & taxonomies
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1440 85th Ave Ne Unit D
Spring Lake Park, MN 55432-1323
Phone: (612) 800-4509
Street-level locationGet directions
Mailing address
1440 85th Ave Ne Unit D
Spring Lake Park, MN 55432-1323
Registry dates
- Enumerated
- 2023-05-30
- Last updated
- 2023-05-30
- Certified
- 2023-05-30
Frequently asked questions
- What is Kids Space LLC's NPI number?
- Kids Space LLC's National Provider Identifier (NPI) is 1063105724, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kids Space LLC?
- Kids Space LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Kids Space LLC located?
- Kids Space LLC's practice location on file with NPPES is 1440 85th Ave Ne Unit D, Spring Lake Park, MN 55432-1323.
- What is Kids Space LLC's phone number?
- The practice phone number listed in the NPPES registry for Kids Space LLC is (612) 800-4509.
- Who is the authorized official for Kids Space LLC?
- The authorized official listed on Kids Space LLC's NPPES record is Abdusamed Hassen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kids Space LLC's NPI active?
- Yes — Kids Space LLC's NPI (1063105724) is active in the NPPES registry as of the last update on 2023-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.