Organization Active NPI

Joyous Care & Family Preservation Services, Inc

  • Registered Nurse
  • Brooklyn Park, MN
National Provider Identifier
1922418383
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R159343-5 Issued in MN
Legal business name
JOYOUS CARE & FAMILY PRESERVATION SERVICES, INC
Practice address
8525 Edinbrook Xing
Suite 107C
Brooklyn Park, MN 55443-1900
Phone
(763) 315-5912
Fax
(763) 315-5916
NPI assigned
May 6, 2014
Last updated
Nov 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Elizabeth Olujoke Mafe
Title
Program Director
Phone
(763) 315-5912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R159343-5 MN Primary

Addresses

Primary practice location

8525 Edinbrook Xing
Suite 107C
Brooklyn Park, MN 55443-1900

Mailing address

8525 Edinbrook Xing
Suite 107C
Brooklyn Park, MN 55443-1900
Phone (763) 315-5912

National Provider Directory

National Provider Directory

Locations

8525 Edinbrook Xing
Ste 107C
Brooklyn Park, MN 55443
Phone (763) 315-5912

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1922418383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 EDINBROOK XING",
            "address_2": "SUITE 107C",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431900",
            "telephone_number": "763-315-5912",
            "fax_number": "763-315-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 EDINBROOK XING",
            "address_2": "SUITE 107C",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431900",
            "telephone_number": "763-315-5912",
            "fax_number": "763-315-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYOUS CARE & FAMILY PRESERVATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "MAFE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "OLUJOKE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "763-315-5912"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R159343-5",
            "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 Nov 15, 2018; 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.