Provider Demographics
NPI:1386451037
Name:NEXTPASS LLC
Entity type:Organization
Organization Name:NEXTPASS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABUBAKAR
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:SIMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-382-8868
Mailing Address - Street 1:515 15TH AVE S UNIT 605
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454-1582
Mailing Address - Country:US
Mailing Address - Phone:480-382-8868
Mailing Address - Fax:
Practice Address - Street 1:515 15TH AVE S UNIT 605
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1582
Practice Address - Country:US
Practice Address - Phone:480-382-8868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care