Maverick Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAVERICK HEALTHCARE SERVICES LLC

Practice address

7760 France Ave S FL 11
Bloomington, MN 55435-5930

Phone

(507) 319-1752

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Gas H Roble

Title

Owner/Manager

Phone

(507) 319-1752

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1154906212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S FL 11",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355930",
            "telephone_number": "507-319-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 FRANCE AVE S FL 11",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355930",
            "telephone_number": "507-319-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "ROBLE",
        "authorized_official_first_name": "GAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "507-319-1752",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Matias Aguilar
• Gary B. Matson, RPH
• Anthony Allen Matthews Jr.
• Dason William Matthiesen Jr.
• Craig Andrew Matticks, MD
• Khalid Craxman Maxamed
• Melanie F. May
• Adam A Mayer, LPCC
• Joseph Michael Mayland, D.O.
• Nunmoula Mazhari, PHARMD

• Home Health Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.