Mount Olivet Day Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

809494 Issued in MN

Legal business name

MOUNT OLIVET DAY SERVICES

Practice address

5601 Lyndale Ave S
Minneapolis, MN 55419-1721

Phone

(612) 827-5677

Fax

(612) 821-3241

NPI assigned

Jul 19, 2005

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sharon L Flack

Title

Controller

Phone

(612) 821-3237

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1457350720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191721",
            "telephone_number": "612-827-5677",
            "fax_number": "612-821-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191721",
            "telephone_number": "612-827-5677",
            "fax_number": "612-821-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT OLIVET DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "FLACK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "612-821-3237",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "809494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malika Baani Moukrim, D.C
• Taylor Nicole Mould, PA-C
• Maleta Kihm Moulsoff, DO
• Laura Marie Moulton Sutherland
• Mount Olivet Careview Home
• Mount Olivet Home
• Mountnirecare
• Andrea Ellen Mousel, MA, LMFT
• Daphne Moutsoglou, MD
• Sabrin Mowlid

• Adult Day Care Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.