Active NPI
Lotima Doto Shokiyo
- Adult Care Home Facility
- Brooklyn Park, MN
National Provider Identifier
1013815182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Practice address
- 4910 102ND TRL N
Brooklyn Park, MN 55443-2066 - Phone
- (763) 291-8730
- NPI assigned
- Oct 28, 2026
- Last updated
- Oct 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.