NPIMap

Organization Active NPI

Mains'L Florida

  • In Home Supportive Care Agency
  • Brooklyn Park, MN
National Provider Identifier
1053616243
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAINS'L FLORIDA
Practice address
7000 78TH Ave N
Brooklyn Park, MN 55445-2744
Phone
(763) 494-4553
Fax
(763) 416-9120
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Ms. Teresa Carol Williams
Title
Chief Operating Officer
Phone
(612) 269-4694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7000 78TH Ave N
Brooklyn Park, MN 55445-2744

Mailing address

7000 78TH Avenue North
Brooklyn Park, MN 55445-2744
Phone (763) 494-4553

Other identifiers 2

IdentifierTypeStateIssuer
678134968MedicaidFL
678134996MedicaidFL

Other names 1

  • Mains'l Services, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mains'L Florida4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1053616243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 78TH AVENUE NORTH",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452744",
            "telephone_number": "763-494-4553",
            "fax_number": "763-416-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 78TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452744",
            "telephone_number": "763-494-4553",
            "fax_number": "763-416-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINS'L FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "612-269-4694",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678134968",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678134996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mains'l Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.