Mindful Recovery Health Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MINDFUL RECOVERY HEALTH SERVICES LLC

Practice address

8080 Eden Rd Apt 251
Eden Prairie, MN 55344-7604

Phone

(952) 994-0205

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Ayan Yahya Ahmed

Title

Owner

Phone

(952) 994-0205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1710740923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 EDEN RD APT 251",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447604",
            "telephone_number": "952-994-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 EDEN RD APT 251",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447604",
            "telephone_number": "952-994-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL RECOVERY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AYAN",
        "authorized_official_middle_name": "YAHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-994-0205"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Ann Miller, PA-C
• Linda Miller
• Lisa A Miller, MD
• Maris Miller
• Mindful Pathway Center
• Brendan Maney Miner, MD
• Mark Miner
• Minnesota Mental Health Solutions
• Minnesota Vision Therapy Center LLC
• Miracle-Ear, Inc.

• Clinic/Center in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.