Midwest Medical & Rehabilitative Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIDWEST MEDICAL & REHABILITATIVE SERVICES, LLC

Practice address

7308 Aspen LN N Ste 134
Brooklyn Park, MN 55428-1035

Phone

(762) 202-4322

Fax

(763) 322-0417

NPI assigned

May 21, 2016

Organization subpart

No

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

Authorized official

Name

Najma Mohamed

Title

Owner

Phone

(651) 242-9796

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1134576929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 ASPEN LN N STE 134",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281035",
            "telephone_number": "763-202-4322",
            "fax_number": "763-322-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7308 ASPEN LN N STE 134",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281035",
            "telephone_number": "762-202-4322",
            "fax_number": "763-322-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7206 Forestview Ln N Ste 211",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553695581",
            "country_code": "US",
            "telephone_number": "612-703-3982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Bass Lake Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554292768",
            "country_code": "US",
            "telephone_number": "763-202-4322",
            "fax_number": "763-322-0417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Bass Lake Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554292768",
            "country_code": "US",
            "telephone_number": "763-202-4322",
            "fax_number": "763-322-0417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST MEDICAL & REHABILITATIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "NAJMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-242-9796"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Brooklyn Park, MN
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• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.