Organization Active NPI

Milestone Health Services Inc

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1558083766
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MILESTONE HEALTH SERVICES INC
Practice address
3966 Minnehaha Ave Ste B
Minneapolis, MN 55406-3232
Phone
(952) 221-7244
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Yahye Waberi
Title
Owner
Phone
(952) 221-7244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3966 Minnehaha Ave Ste B
Minneapolis, MN 55406-3232

Mailing address

3966 Minnehaha Ave Ste B
Minneapolis, MN 55406-3232

National Provider Directory

National Provider Directory

Locations

3966 Minnehaha Ave
Ste B
Minneapolis, MN 55406
Phone (952) 221-7244

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1558083766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3966 MINNEHAHA AVE STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3966 MINNEHAHA AVE STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063232",
            "telephone_number": "952-221-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "WABERI",
        "authorized_official_first_name": "YAHYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-221-7244"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Sep 14, 2022; 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.