Midwest Community Support, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MIDWEST COMMUNITY SUPPORT, INC.

Practice address

7900 Excelsior Blvd Ste 2015
Hopkins, MN 55343-2600

Phone

(612) 533-3030

Fax

(952) 426-1367

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Suad Bashir Jama

Title

President/Ceo

Phone

(763) 363-9004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1184288268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 EXCELSIOR BLVD STE 2015",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553432600",
            "telephone_number": "763-363-9004",
            "fax_number": "763-592-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 EXCELSIOR BLVD STE 2015",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553432600",
            "telephone_number": "612-533-3030",
            "fax_number": "952-426-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COMMUNITY SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "SUAD",
        "authorized_official_middle_name": "BASHIR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "763-363-9004"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D McAlister, A.T.P.
• Melissa V McBorrough, RBT
• Lindsey McDougall
• Christina Marie Mehrhof
• Metropolitan Community Services
• Midwest Medical Transit
• Milestone Achievements LLC
• Justina Mae Hansing Miller, MA, CCC-SLP
• Susan Dee Miller, DVM
• Timothy L Miller, MD

• Counselor in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.