Individual provider Active NPI

Maryamo Muhumed Elmoge

  • Day Training/Habilitation Specialist
  • Saint Cloud, MN
National Provider Identifier
1902675424
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
3721 23Rd St S Ste 201
Saint Cloud, MN 56301-6199
Phone
(605) 271-2690
Fax
(605) 271-3956
NPI assigned
Dec 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X
Day Training/Habilitation Specialist 373H00000X MN Primary
Homemaker 376J00000X

Addresses

Primary practice location

3721 23Rd St S Ste 201
Saint Cloud, MN 56301-6199

Mailing address

1105 W Russell St
Sioux Falls, SD 57104-1322
Phone (605) 271-2690

Other practice location 1

2512 7th Ave S Ste F1
Fargo, ND 58103-8747
Phone (218) 790-6623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Care CurrentSince Feb 18, 2024 Accepting new patients

Locations

2512 7th Ave S
Ste F1
Fargo, ND 58103
Phone (218) 790-6623

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1902675424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W RUSSELL ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571041322",
            "telephone_number": "605-271-2690",
            "fax_number": "605-271-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 23RD ST S STE 201",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016199",
            "telephone_number": "605-271-2690",
            "fax_number": "605-271-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2512 7th Ave S Ste F1",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581038747",
            "country_code": "US",
            "telephone_number": "218-790-6623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMOGE",
        "first_name": "MARYAMO",
        "middle_name": "MUHUMED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.