Maximal Care Mobilty LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

USDOT2493341 Issued in MN

Legal business name

MAXIMAL CARE MOBILTY LLC

Practice address

8923 Greystone Ave S
Cottage Grove, MN 55016-2761

Phone

(651) 304-0541

NPI assigned

Jul 24, 2014

Last updated

Jul 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Silas Kfusalu WaindimNPI 1093123044

Title

Ceo

Phone

(651) 304-0541

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Silas Kfusalu Waindim Sr., MR

  • Non-emergency Medical Transport (VAN)
  • Cottage Grove, MN
  • NPI 1093123044
  NPD (past) Authorized official

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1164830972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 GRETSTONE AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "55016",
            "telephone_number": "651-304-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8923 GREYSTONE AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162761",
            "telephone_number": "651-304-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMAL CARE MOBILTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "WAINDIM",
        "authorized_official_first_name": "SILAS",
        "authorized_official_middle_name": "KFUSALU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-304-0541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "USDOT2493341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Mangine, DPT
• James P Mantzaris, DO
• Lisa M Marshall, MD
• Martha J Masciopinto, MD
• Laura Mathys, MA, LMFT
• Judith Mbangwana
• Kathleen Margaret McGinn, DDS
• Tamara McGinn
• Rebecca Jean Meyer
• Midwest Foot & Ankle Specialists, LLC

• Non-emergency Medical Transport (VAN) in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.