Stable Care Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STABLE CARE SERVICES LLC

Practice address

2301 N 2ND St
Minneapolis, MN 55411-2208

Phone

(612) 703-7058

NPI assigned

Nov 15, 2019

Organization subpart

No

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

Authorized official

Name

Yusuf Khadar MohamedNPI 1063215804

Title

Owner

Phone

(612) 703-7058

Specialties & licenses 6

Addresses

Practitioners 1

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

• Yusuf Mohamed

  • Behavior Technician
  • Saint Paul, MN
  • NPI 1063215804
  NPD Authorized official

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1831734581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N 2ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112208",
            "telephone_number": "612-703-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N 2ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112208",
            "telephone_number": "612-703-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STABLE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_middle_name": "KHADAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-703-7058"
    },
    "taxonomies": [
        {
            "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": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Patrick St. Michel, DO
• St. Olaf Residence, Inc.
• Wendy Lou St. Peter, PHARM.D.
• Randal Richard Staats
• Stability Pro LLC
• Stable Housing LLC
• Stable Living Solutions LLC
• Pawel P Stachowicz, M.D.
• Jenna Renee Stade
• Amanda Stadem, DO

• Assisted Living Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.