Lotus Care MN LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

LOTUS CARE MN LLC

Practice address

2915 Wayzata Blvd Ste 306
Minneapolis, MN 55405-2145

Phone

(651) 421-5221

NPI assigned

Jun 12, 2024

Organization subpart

No

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

Authorized official

Name

Ayantu Shankulie

Title

Owner

Phone

(651) 421-5221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1881436483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 WAYZATA BLVD STE 306",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052145",
            "telephone_number": "651-421-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 WAYZATA BLVD STE 306",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052145",
            "telephone_number": "651-421-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS CARE MN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "SHANKULIE",
        "authorized_official_first_name": "AYANTU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-421-5221"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Losie, LICSW
• Sahar Lotfi-Emran, M.D., PH.D.
• Katie A Loth, RD
• Taylor Mae Loth, MD
• Michael Albert Lothspeich
• Lotus Counseling Inc
• Daniel T. Lotz, M.D.
• Emil Lou, M.D., PH.D
• Renee A. M. Louck, LPCC
• Jeffrey P Louie, MD

• Adolescent and Children Mental Health Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.