Madina Wellness Center, Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MADINA WELLNESS CENTER, INC.

Practice address

1230 Eagan Industrial Rd Ste 103
Eagan, MN 55121-1243

Phone

(612) 770-3502

NPI assigned

May 23, 2018

Organization subpart

No

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

Authorized official

Name

Hawo Odawaay

Title

Owner

Phone

(612) 770-3502

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1083105209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 26TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 EAGAN INDUSTRIAL RD STE 103",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211243",
            "telephone_number": "612-770-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADINA WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "ODAWAAY",
        "authorized_official_first_name": "HAWO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-770-3502"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayan Ali Macalin
• Lynda Macaulay
• Clare Louise Macdonald-Sexton, LICSW
• Bradley Dean Mack, LATC
• Melissa Macklin, LICSW
• Amal Mahamed
• Mohamed Hussein Mahamed
• Nastesho Mahamed
• Sirad Abdi Mahamed
• Hibaq Mahamud

• Developmental Disabilities Clinic/Center in Eagan, MN
• Providers in Eagan, MN by specialty
• Developmental Disabilities Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.