Kesma Flame Lily Llc
LBN: Kesma Flame Lily Llc
Kesma Flame Lily Llc is an health care organization with primary practice located at 2800 Freeway Blvd Ste 204/7, Minneapolis MN 55430-5543. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Migrant Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Kesma Flame Lily Llc can be contacted via phone (612) 408-7733, or through Thomas-Shanobi, Petronellah Thoko via phone (612) 408-7733.
Contact Information
Primary practice address
2800 Freeway Blvd Ste 204/7
Minneapolis MN 55430-5543
Phone: (612) 408-7733
Fax: (763) 292-5653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Agencies / Home Health | 251E00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / Early Intervention Provider Agency | 252Y00000X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Migrant Health | 261QM1000X |
Profile Details
| NPI number | 1295212355 |
|---|---|
| LBN Legal business name | Kesma Flame Lily Llc |
| DBA Doing business as | |
| Authorized official | Thomas-Shanobi, Petronellah Thoko LPCC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2018 |
| Last updated | Sep 25th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295212355 | NPPES |
| Minnesota | Other | 0000000 | BEHAVIORAL HEALTH |
| Minnesota | MEDICAID | 6744924000 | BEHAVIORAL HEALTH |
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