Mai Hero, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAI HERO, LLC

Practice address

6609 Neddersen Pkwy
Brooklyn Park, MN 55445-3204

Phone

(763) 464-2681

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Mai Nou Thao

Title

Owner

Phone

(763) 464-2681

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1295557536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 NEDDERSEN PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554453204",
            "telephone_number": "763-464-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 NEDDERSEN PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554453204",
            "telephone_number": "763-464-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI HERO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "THAO",
        "authorized_official_first_name": "MAI NOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-464-2681"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly J. Lynn, PT
• Lyons Company, Inc.
• M3 Home Services Inc
• Danielle Lee Maas
• John Thomas Maclin Jr., LICENSED ALCOHOL DRU
• Michael D Mai, D.C.
• Mains'L Financial Management Services, Inc.
• Mains'L Fiscal Support Entity
• Mains'L Florida
• Mains'L Florida, Inc.

• Assisted Living Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.