Multicultural Adult Day Services, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

1082160 Issued in MN

Legal business name

MULTICULTURAL ADULT DAY SERVICES, LLC

Practice address

2355 Ariel St N
Maplewood, MN 55109-2275

Phone

(651) 200-4167

Fax

(651) 219-5902

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Olga Sheveleva

Title

President

Phone

(651) 283-6108

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1649721762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161458",
            "telephone_number": "651-283-6108",
            "fax_number": "952-930-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 ARIEL ST N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092275",
            "telephone_number": "651-200-4167",
            "fax_number": "651-219-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICULTURAL ADULT DAY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "SHEVELEVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-283-6108"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "1082160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chia Wam Moua, DDS
• MTC Senior Residence
• Adam Lee Muehler, PHARM.D., R.PH.
• Jessica Marie Mulcare, PHARMD
• Ann Mulfinger, R.D., L.D.
• Lynn Kristin Munson, R.D., L.D.
• John D Murray, D.O.
• Tasnim Mushannen
• Abijah Muthyala, M.D.
• My Medical Clinic PLLC

• Adult Day Care Clinic/Center in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.