Makalu, Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MAKALU, INC

Doing business as

Fresh Start

Practice address

1610 E 1St St
Duluth, MN 55812-1650

Phone

(218) 724-2945

Fax

(218) 724-0699

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kay Knock

Title

President

Phone

(605) 388-4691

Specialties & licenses 1

Addresses

Other names 1

• Fresh Start Doing business as

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1184815755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121650",
            "telephone_number": "218-724-2945",
            "fax_number": "218-724-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121650",
            "telephone_number": "218-724-2945",
            "fax_number": "218-724-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKALU, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "KNOCK",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-388-4691",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Start",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Kay Mahoney, APRN, CNP
• Teresa A Mahoney, LICSW
• Lynne Maine, OTR/L
• Kathy Ann Mainella I, LPN
• Brittini Joellle Majchrzak, RN
• Daniel Mark Maki, MA, LMFT, LICSW
• Jenna Maki, OTR
• Miranda Maki
• Terri Lynn Maki, RN
• Anna Kristine Malay, MS, LPCC

• Mental Illness Community Based Residential Treatment Facility in Duluth, MN
• Providers in Duluth, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.