Maverick Living LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

MAVERICK LIVING LLC

Practice address

16026 Estate LN
Lakeville, MN 55044-2269

Phone

(619) 735-8278

Fax

(612) 444-8860

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Farhiya Abdi, RN

Title

Owner

Phone

(619) 735-8278

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1689588964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16026 ESTATE LN",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550442269",
            "telephone_number": "619-735-8278",
            "fax_number": "612-444-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16026 ESTATE LN",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550442269",
            "telephone_number": "619-735-8278",
            "fax_number": "612-444-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "FARHIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-735-8278",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M187460300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Marty, D.C.
• Hector Rene Matascastillo, MSW, LICSW, LSSW
• Sybilla Materla
• Trudy M Matthys, RPH
• Andrew Mattson, O.D.
• Alexandria May
• Rodney J McCutcheon, MD
• Anthony Michael McDonald, OD
• Margaret G McDonald, OD
• Molly Rae McDonald, O.D.

• Respite Care in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Respite Care in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.