Active NPI
Affirmative Mande Health Services
- Home Health Agency
- Coon Rapids, MN
National Provider Identifier
1750140448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AFFIRMATIVE MANDE HEALTH SERVICES
- Practice address
- 2227 132ND LN NW
Coon Rapids, MN 55448-2569 - Phone
- (612) 481-5130
- NPI assigned
- Mar 15, 2024
- Last updated
- Mar 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moussa Cisse
- Title
- Owner
- Phone
- (763) 496-7344
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2227 132ND LN NW
Coon Rapids, MN 55448-2569
Mailing address
2227 132ND LN NW
Coon Rapids, MN 55448-2569
Phone (612) 481-5130
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1750140448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 132ND LN NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554482569",
"telephone_number": "612-481-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227 132ND LN NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554482569",
"telephone_number": "612-481-5130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFIRMATIVE MANDE HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A",
"authorized_official_last_name": "CISSE",
"authorized_official_first_name": "MOUSSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-496-7344"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
- Naeem Ahmed Adhami, MD
- Najma Adur
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- Jennifer Aeshliman, LICSW
- Jessie Afari, DPT
- Affordable Dentures & Implants - Coon Rapids, P.C. (Affordable Dentures & Implants - Coon Rapids)
- Ramon Aguirre, D.D.S., M.S.
- Obinna E. Agujiobi, M.D.
- Shannon V Ahern, DPT
- Cynthia Laramy Ahler, RN CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.