Msaada LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MSAADA LLC

Practice address

5919 Abbott Ave N
Brooklyn Center, MN 55429-2626

Phone

(763) 501-2326

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

Adrianne Jannibah Gould

Title

Ceo

Phone

(763) 501-2326

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LOGO Community Support Services Doing business as

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1730822255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 ABBOTT AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292626",
            "telephone_number": "763-501-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 ABBOTT AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292626",
            "telephone_number": "763-501-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSAADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_middle_name": "JANNIBAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-501-2326"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A561937000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOGO Community Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.