Organization Active NPI

Mulak

  • Case Manager/Care Coordinator
  • Minneapolis, MN
National Provider Identifier
1518629112
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MULAK
Practice address
7990 Halifax Ave N
Minneapolis, MN 55443-2644
Phone
(763) 227-6030
NPI assigned
Oct 11, 2021
Last updated
Oct 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Mr. Mukaila Olademiji Shodiya
Title
Ceo
Phone
(413) 561-6045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7990 Halifax Ave N
Minneapolis, MN 55443-2644

Mailing address

7990 Halifax Ave N
Minneapolis, MN 55443-2644
Phone (763) 227-6030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1518629112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 HALIFAX AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554432644",
            "telephone_number": "763-227-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7990 HALIFAX AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554432644",
            "telephone_number": "763-227-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "SHODIYA",
        "authorized_official_first_name": "MUKAILA",
        "authorized_official_middle_name": "OLADEMIJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "413-561-6045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.