Mount Zion Care Services LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

MOUNT ZION CARE SERVICES LLC

Practice address

3751 Ridge Ave
Anoka, MN 55303-1489

Phone

(515) 918-3955

NPI assigned

Jul 7, 2022

Organization subpart

No

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

Authorized official

Name

Azie Khan, RNNPI 1265012629

Title

Assisted Living Director

Phone

(515) 918-3955

Specialties & licenses 2

Addresses

Other names 1

• Mount Zion Care Services LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Azie Judith Khan

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest Lake, MN
  • NPI 1265012629
  NPD Authorized official

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1700519741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 208TH CIR N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252903",
            "telephone_number": "515-918-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 RIDGE AVE",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031489",
            "telephone_number": "515-918-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ZION CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AZIE",
        "authorized_official_title_or_position": "ASSISTED LIVING DIRECTOR",
        "authorized_official_telephone_number": "515-918-3955",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Zion Care Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Morris
• Teressa Morsfield
• Charlene Marie Moschkau, RN., CNP
• May Yia Lee Moua, LPCC, (PRE-LICENSED)
• Souriya Moua
• Steven N Moy, BC-HIS
• Erica Mullings, LICSW
• Kierstin Ellyse Munn
• Daniel Charles Munson, L.M.F.T.
• Carson Murray

• Assisted Living Facility (Mental Illness) in Anoka, MN
• Providers in Anoka, MN by specialty
• Assisted Living Facility (Mental Illness) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.