Mayfair Home Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

460216 Issued in MN

Legal business name

MAYFAIR HOME MEDICAL

Practice address

1710 Douglas Dr N
Suite # 104
Golden Valley, MN 55422-4327

Phone

(952) 746-4570

Fax

(952) 746-4573

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Julie A. Osemeka, M.D.

Title

Owner

Phone

(952) 746-4571

Specialties & licenses 1

Addresses

Other names 1

• Mayfair Home Health Services, Inc. Other name

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265510499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N",
            "address_2": "SUITE # 104",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224327",
            "telephone_number": "952-746-4570",
            "fax_number": "952-746-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N",
            "address_2": "SUITE # 104",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224327",
            "telephone_number": "952-746-4570",
            "fax_number": "952-746-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSEMEKA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-746-4571",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "460216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayfair Home Health Services, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carrie Lynn Sommars Maruska, D.P.T.
• Lee Ann Mae Mateffy, OTR L
• Kathleen Ann Mathews, LICSW
• Anika Mathur
• Maxim Healthcare Services Inc
• Burke Rafer Mays, D.C.
• Erica D Mbangamoh, SLP
• Elizabeth B McAllister
• Aaron Michael McBroom, PT
• Christine Marie McCann

• Durable Medical Equipment & Medical Supplies in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.