Modern Health Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MODERN HEALTH SERVICES LLC

Practice address

1490 Frost Ave
Maplewood, MN 55109-4450

Phone

(651) 363-8418

NPI assigned

Sep 26, 2025

Organization subpart

No

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

Authorized official

Name

Ismael Ibrahim Buta

Title

Manager

Phone

(763) 445-0332

Specialties & licenses 1

Addresses

Tax ID family

Modern Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Modern Health Services LLC

  • Clinic/Center
  • Maplewood, MN
  • NPI 1427863760
  NPD tax ID

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1073486809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 FROST AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 FROST AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094450",
            "telephone_number": "651-363-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "BUTA",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-445-0332"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Caroline Mitsch, M.S., CCC-SLP
• Maren Mittal, LICSW
• Stian R Mjanger, MD
• MN Wellness
• Modern Dental Professionals MN PC
• Modern Health Services LLC
• Abdihakin O Mohamed
• Hudeyfi Mohamed
• Mohamed Mohamed
• Mohamud Mohamed

• Adult Mental Health Clinic/Center in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.