Organization Active NPI

Affirmative Mande Health Services

  • Home Health Agency
  • Coon Rapids, MN
National Provider Identifier
1750140448
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.