Individual provider Active NPI

Lotima Doto Shokiyo

  • Adult Care Home Facility
  • Brooklyn Park, MN
National Provider Identifier
1013815182
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Practice address
4910 102ND TRL N
Brooklyn Park, MN 55443-2066
Phone
(763) 291-8730
NPI assigned
Oct 28, 2026
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4910 102ND TRL N
Brooklyn Park, MN 55443-2066

Mailing address

4910 102ND TRL N
Brooklyn Park, MN 55443-2066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1013815182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 102ND TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 102ND TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432066",
            "telephone_number": "763-291-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKIYO",
        "first_name": "LOTIMA",
        "middle_name": "DOTO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.