Mains'L Fiscal Support Entity

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAINS'L FISCAL SUPPORT ENTITY

Practice address

7000 78TH Ave N
Brooklyn Park, MN 55445-2744

Phone

(763) 494-4553

Fax

(763) 416-9198

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Teresa C. Williams

Title

President/Cfo

Phone

(763) 494-4553

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1275808206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 78TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452744",
            "telephone_number": "763-494-4553",
            "fax_number": "763-416-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 78TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452744",
            "telephone_number": "763-494-4553",
            "fax_number": "763-416-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINS'L FISCAL SUPPORT ENTITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/CFO",
        "authorized_official_telephone_number": "763-494-4553",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A976414300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Lee Maas
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• Michael D Mai, D.C.
• Mains'L Financial Management Services, Inc.
• Mains'L Florida
• Mains'L Florida, Inc.
• Mains'L Services, Inc.
• Frank M Maixner, OTRL
• Molly Jean Malecha, PHARMD

• In Home Supportive Care Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.