Organization Active NPI

Minnesota Community Services, Inc.

  • Case Management Agency
  • Hopkins, MN
National Provider Identifier
1457637845
Registry record updated Oct 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MINNESOTA COMMUNITY SERVICES, INC.
Practice address
1267 Landmark TRL S
Hopkins, MN 55343-7993
Phone
(952) 583-3264
Fax
(952) 236-6675
NPI assigned
Oct 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2011

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

Authorized official

Name
Dr. Ivy Mairura
Title
Director
Phone
(952) 583-3264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1267 Landmark TRL S
Hopkins, MN 55343-7993

Mailing address

PO Box 782
Hopkins, MN 55343-0782

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319846400000",
    "number": "1457637845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553430782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 LANDMARK TRL S",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437993",
            "telephone_number": "952-583-3264",
            "fax_number": "952-236-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-29",
        "last_updated": "2011-10-29",
        "status": "A",
        "authorized_official_last_name": "MAIRURA",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-583-3264",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2011; 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.