Organization Active NPI

Maxliving Home Care Services, LLC

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1568035608
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MAXLIVING HOME CARE SERVICES, LLC
Practice address
519 University Ave W Ste E
Saint Paul, MN 55103-2161
Phone
(763) 843-2744
Fax
(612) 416-0151
NPI assigned
Jul 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Authorized official

Name
Mohamed Farah Botan
Title
Owner
Phone
(763) 843-2744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

519 University Ave W Ste E
Saint Paul, MN 55103-2161

Mailing address

519 University Ave W Ste E
Saint Paul, MN 55103-2161
Phone (763) 843-2744

Other names 1

  • MaxLiving Home Care Services, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

519 University Ave W
Ste E
Saint Paul, MN 55103
Phone (763) 843-2744

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1568035608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 UNIVERSITY AVE W STE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032161",
            "telephone_number": "763-843-2744",
            "fax_number": "612-416-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 UNIVERSITY AVE W STE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032161",
            "telephone_number": "763-843-2744",
            "fax_number": "612-416-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXLIVING HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "BOTAN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "FARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-843-2744"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaxLiving Home Care Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.