Main Street Family Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAIN STREET FAMILY SERVICES

Practice address

400 Jackson Ave NW Ste 101
Elk River, MN 55330-1363

Phone

(763) 233-2195

NPI assigned

Dec 26, 2017

Organization subpart

No

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

Authorized official

Name

Julie Allyn Schultz

Title

Director

Phone

(763) 233-2195

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlotte McDonald, MSW

  • Clinical Social Worker
  • Elk River, MN
  • NPI 1316369473
  Medicare reassignment Care Compare group NPD
• Andrew Worthing, MS, LMFT

  • Marriage & Family Therapist
  • Brooklyn Center, MN
  • NPI 1346821063
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1124534359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JACKSON AVE NW STE 101",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301363",
            "telephone_number": "763-595-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JACKSON AVE NW STE 101",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301363",
            "telephone_number": "763-233-2195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 S Minnesota Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560822557",
            "country_code": "US",
            "telephone_number": "763-595-1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAIN STREET FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ALLYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-233-2195"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Social Service of Minnesota
• Sadona Ann Maag
• Melissa Maccafferty, L.I.C.S.W
• Maetche Wellness
• Katherine Whitney Maguire
• Chelsiedinnise Iya Malinao
• Mirabel Tibuji Mambo
• Skyler Lyn Manka
• Skylar R Marsolek
• Dylan Martin

• In Home Supportive Care Agency in Elk River, MN
• Providers in Elk River, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.