Organization Active NPI

M3 Home Services Inc

  • Assisted Living Facility
  • Brooklyn Park, MN
National Provider Identifier
1285489799
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
M3 HOME SERVICES INC
Practice address
5216 Brookdale Dr N
Brooklyn Park, MN 55443-3009
Phone
(763) 203-5148
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Mrs. Monjue Weahyonoh Assibu
Title
Registered Nurse
Phone
(763) 203-5148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5216 Brookdale Dr N
Brooklyn Park, MN 55443-3009

Mailing address

5216 Brookdale Dr N
Brooklyn Park, MN 55443-3009
Phone (763) 203-5148

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1285489799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 BROOKDALE DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433009",
            "telephone_number": "763-203-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 BROOKDALE DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433009",
            "telephone_number": "763-203-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M3 HOME SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "ASSIBU",
        "authorized_official_first_name": "MONJUE",
        "authorized_official_middle_name": "WEAHYONOH",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "763-203-5148",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.