MAXIMAL CARE MOBILTY LLC (NPI# 1164830972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164830972 |
| Entity Type | Organization |
| Organization Name | MAXIMAL CARE MOBILTY LLC |
| Practice Address |
8923 Greystone Ave S Cottage Grove MN 55016-2761 |
| Mailing Address |
8923 Gretstone Ave S Cottage Grove MN 55016 |
| Practice Telephone | 6513040541 |
| Mailing Telephone | 6513040541 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | MR. SILAS KFUSALU WAINDIM (CEO) |
| Authorized Official Telephone | 6513040541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | USDOT2493341 | MN | Transportation Services |
| Street Address |
8923 GREYSTONE AVE S |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093123044 | Silas Kfusalu Waindim Sr. | Non-emergency Medical Transport (VAN) | 8923 Greystone Ave S, Cottage Grove, MN 55016-2761 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295268357 | A.c.e.d.j. Transportation LLC | Non-emergency Medical Transport (VAN) | 7538 Iverson Ave S, Cottage Grove, MN 55016-2127 | 2017-04-06 |
| 1649663253 | Honor Transportation L.l.c | Non-emergency Medical Transport (VAN) | 8697 Joliet Ave S, Cottage Grove, MN 55016-3734 | 2015-03-07 |
| 1093123044 | Silas Kfusalu Waindim Sr. | Non-emergency Medical Transport (VAN) | 8923 Greystone Ave S, Cottage Grove, MN 55016-2761 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193607 | Massaie Services Inc | Non-emergency Medical Transport (VAN) | 15 1st St Se Ste 220, Rochester, MN 55904-3800 | 2020-10-30 |
| 1487252383 | Amy Larayne Oothoudt | Non-emergency Medical Transport (VAN) | 13392 Thomas Dr, Little Falls, MN 56345-6110 | 2020-10-13 |
| 1548868680 | Mohamed A Mohamed | Non-emergency Medical Transport (VAN) | 2910 E Franklin Ave Apt 1011, Minneapolis, MN 55406-1140 | 2020-10-12 |
| 1710598487 | Advance Mobility | Non-emergency Medical Transport (VAN) | 7600 W 27th St Ste 213, St Louis Park, MN 55426-3163 | 2020-08-14 |
| 1154932507 | Mohamud B Habib | Non-emergency Medical Transport (VAN) | 9400 Earl St, Golden Valley, MN 55427-3741 | 2020-08-10 |
| 1073121315 | Twin Cities Pain Clinic Transportation, Inc. | Non-emergency Medical Transport (VAN) | 7225 Ohms Ln Ste 150, Edina, MN 55439-2172 | 2020-07-22 |
| 1922625490 | Ahmed B Jama | Non-emergency Medical Transport (VAN) | 1883 Deer Hills Trl, Eagan, MN 55122-2284 | 2020-07-01 |
| 1700403748 | Apple Express, LLC | Non-emergency Medical Transport (VAN) | 825 N Minnesota Ave, Saint Peter, MN 56082-2424 | 2020-06-25 |
| 1760002018 | Grace Home Healthcare Inc. | Non-emergency Medical Transport (VAN) | 216 E Main St Ste 5, Albert Lea, MN 56007-2982 | 2020-04-16 |
| 1992324230 | D Light Transportation LLC | Non-emergency Medical Transport (VAN) | 8001 61st Ave N, New Hope, MN 55428-2717 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
| City | COTTAGE GROVE |
| Zip Code | 55016 |
Please comment or provide details below to improve the information on MAXIMAL CARE MOBILTY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.