Mobson Care Incorporated

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

333391 Issued in MN

Legal business name

MOBSON CARE INCORPORATED

Practice address

6269 Century Blvd
Brooklyn Park, MN 55429-1030

Phone

(763) 286-5224

Fax

(763) 560-3137

NPI assigned

Apr 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mobolaji Shiwoniku

Title

Branch Coordinator

Phone

(763) 286-5224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982828257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6269 CENTURY BLVD",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554291030",
            "telephone_number": "763-286-5224",
            "fax_number": "763-560-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6269 CENTURY BLVD",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554291030",
            "telephone_number": "763-286-5224",
            "fax_number": "763-560-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBSON CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIWONIKU",
        "authorized_official_first_name": "MOBOLAJI",
        "authorized_official_title_or_position": "BRANCH COORDINATOR",
        "authorized_official_telephone_number": "763-286-5224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MN",
            "license": "333391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Exclusive Provider Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.