NPIMap

Organization Active NPI

Evident Social Services LLC

  • Clinic/Center
  • St Paul Park, MN
National Provider Identifier
1649058652
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EVIDENT SOCIAL SERVICES LLC
Practice address
940 Hastings Ave
St Paul Park, MN 55071-1315
Phone
(651) 300-0140
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Nche Mou-BayongNPI 1407662265
Title
Owner
Phone
(651) 300-0140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

940 Hastings Ave
St Paul Park, MN 55071-1315

Mailing address

940 Hastings Ave
St Paul Park, MN 55071-1315

National Provider Directory

National Provider Directory

Locations

940 Hastings Ave
St Paul Park, MN 55071
Phone (651) 300-0140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1649058652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 HASTINGS AVE",
            "city": "ST PAUL PARK",
            "state": "MN",
            "postal_code": "550711315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 HASTINGS AVE",
            "city": "ST PAUL PARK",
            "state": "MN",
            "postal_code": "550711315",
            "telephone_number": "651-300-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIDENT SOCIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "MOU-BAYONG",
        "authorized_official_first_name": "NCHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-300-0140"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Paul Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.