Organization Active NPI

Dynamik Services Inc

  • In Home Supportive Care Agency
  • Saint Paul, MN
National Provider Identifier
1568035764
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DYNAMIK SERVICES INC
Practice address
1010 Dale St N
Saint Paul, MN 55117-5603
Phone
(612) 333-4315
NPI assigned
Jul 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Terence Lainsi Mukong
Title
Ceo
Phone
(612) 461-8506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1010 Dale St N
Saint Paul, MN 55117-5603

Mailing address

9913 Evergreen Ave N
Brooklyn Park, MN 55443-1557
Phone (240) 224-6296

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1568035764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9913 EVERGREEN AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431557",
            "telephone_number": "240-224-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DALE ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551175603",
            "telephone_number": "612-333-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIK SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "MUKONG",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "LAINSI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-461-8506"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 23, 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.