Melanin Minded LLC

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

MELANIN MINDED LLC

Practice address

2623 North 61St Street
Milwaukee, WI 53213

Phone

(414) 234-8160

NPI assigned

Nov 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Bashir R Easter

Title

Ceo

Phone

(414) 234-8160

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1922765106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N 12TH STREET",
            "address_2": "05485",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53205",
            "telephone_number": "414-234-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 NORTH 61ST STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53213",
            "telephone_number": "414-234-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIN MINDED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "EASTER",
        "authorized_official_first_name": "BASHIR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-234-8160",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar Augusto Mejia
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• Lakshmi Malavika Reddy Meka, M.D.
• Mel'S Group Homes LLC
• Melainie Tuggle MSW, LLC
• Andrew Melby
• Tamra M Melder, RPT
• Rosemary Meleen, CSAC-IT
• Stephanie Melendrez
• Nadine Meleski, CADC III, RCS

• Transportation Network Company in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Transportation Network Company in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.