NPIMap

Organization Active NPI

Mindful Support Network Limited

  • Respite Care
  • Brooklyn Park, MN
National Provider Identifier
1801787015
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
MINDFUL SUPPORT NETWORK LIMITED
Practice address
4112 105TH TRL N
Brooklyn Park, MN 55443-1335
Phone
(763) 464-6462
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Gladys A Ndege, NPNPI 1659045391
Title
Owner/NP
Phone
(763) 464-6462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Assisted Living Facility 310400000X
Respite Care 385H00000X Primary

Addresses

Primary practice location

4112 105TH TRL N
Brooklyn Park, MN 55443-1335

Mailing address

4112 105TH TRL N
Brooklyn Park, MN 55443-1335
Phone (763) 464-6462

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1801787015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 105TH TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431335",
            "telephone_number": "763-464-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 105TH TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431335",
            "telephone_number": "763-464-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SUPPORT NETWORK LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "NDEGE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "763-464-6462",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.