Maisa Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MAISA INC.

Practice address

1113 E Franklin Ave Ste 208C
Minneapolis, MN 55404-2977

Phone

(602) 903-8781

NPI assigned

Sep 28, 2020

Last updated

Sep 28, 2020By 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

Samira Nur

Title

President

Phone

(602) 903-8781

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1730796384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E FRANKLIN AVE STE 208C",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042977",
            "telephone_number": "602-903-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E FRANKLIN AVE STE 208C",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042977",
            "telephone_number": "602-903-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "NUR",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-903-8781"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1113 E Franklin Ave Ste 208C",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554042977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David G Mainguy, MSW LICSW
• Sarah Mainguy, MD
• Mainland Home Healthcare Inc (Mainland Home Healthcare)
• David Jeffrey Mair, MD
• Kyle Christopher Mairose, M.D.
• Robert H Maisel, MD
• Samuel John Maiser, MD
• Melonie Maitland, PHARMD
• Amber Maiwald, PSYD
• Alyssa S Maizan, NP

• Mental Illness Community Based Residential Treatment Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.