Mabs Recovery Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MABS RECOVERY CENTER LLC

Practice address

5941 Washburn Ave S
Minneapolis, MN 55410-2848

Phone

(612) 236-4717

NPI assigned

Oct 18, 2018

Organization subpart

No

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

Authorized official

Name

Abshir Mohamed

Title

Ceo

Phone

(612) 236-4714

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fartun Abshir Ali

  • Behavior Technician
  • Minneapolis, MN
  • NPI 1922706464
  NPD (past)

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1407322217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 121ST AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343380",
            "telephone_number": "612-709-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 WASHBURN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554102848",
            "telephone_number": "612-236-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABS RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABSHIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-236-4714"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Maas
• Melissa Maaske, MSW, LICSW
• Molly Aleah Maass, PA-C
• Linda L Mabbs, MA CCC SLP
• Carolee Frances Mabe
• Mac Service Network LLC
• Jean-Marc Mac-Thiong, M.D.
• Jeffrey Alexander Macalena, MD
• Daryn Tam Macasieb, RD
• Nadia Maccabee-Ryaboy, M.D.

• Substance Abuse Rehabilitation Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.