Mai'S Adult Foster Care

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

1042011-2-AFC Issued in MN

Legal business name

MAI'S ADULT FOSTER CARE

Practice address

1657 Duluth St
Saint Paul, MN 55106-1117

Phone

(651) 235-5287

Fax

(651) 771-7974

NPI assigned

Jun 26, 2009

Organization subpart

No

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

Authorized official

Name

Mai Cha Moua

Title

Owner

Phone

(651) 235-5287

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1154559276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 DULUTH ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061117",
            "telephone_number": "651-235-5287",
            "fax_number": "651-771-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 DULUTH ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061117",
            "telephone_number": "651-235-5287",
            "fax_number": "651-771-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI'S ADULT FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "MOUA",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "CHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-235-5287"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1042011-2-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Daniel Mahoney, M.D.
• Jessica L Mahoney, NURSE PRACTITIONER
• Richard Gerard Mahr, MD
• Mai Spine Center
• Mai Spine Center P.a.
• Lacey Maier, OTR/L
• Jon Maiers, LPCC, LADC
• Rebecca Mailand, LAT, ATC
• Main Street Family Dental Care P.a.
• David Conrad Mair, MD

• Foster Care Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.