MAISA INC. (NPI# 1730796384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730796384 |
| Entity Type | Organization |
| Organization Name | MAISA INC. |
| Practice Address |
1113 E Franklin Ave Ste 208c Minneapolis MN 55404-2977 |
| Practice Telephone | 6029038781 |
| Mailing Telephone | 6029038781 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | SAMIRA NUR (PRESIDENT) |
| Authorized Official Telephone | 6029038781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | NA | 05 |
| Street Address |
1113 E FRANKLIN AVE STE 208C |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871064840 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 300 8th Ave Ne, Minneapolis, MN 55413-2030 | 2018-12-17 |
| 1508337585 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5914 Hackmann Ave Ne, Minneapolis, MN 55432-5756 | 2018-12-17 |
| 1144791237 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 736 Pierce St Ne, Minneapolis, MN 55413-2530 | 2018-12-16 |
| 1689119836 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1201 Dupont Ave N, Minneapolis, MN 55411-4089 | 2016-12-27 |
| 1841742699 | Hennepin Healthcare Systems, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3633 Chicago Ave, South, Minneapolis, MN 55407-2603 | 2016-10-27 |
| 1184097479 | Step Forward, Incorporated | Community Based Residential Treatment Facility, Mental Illness | 3307 University Ave Se, Minneapolis, MN 55414-3325 | 2015-11-09 |
| 1174713705 | Reentry House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5812 Lyndale Ave S, Minneapolis, MN 55419-2222 | 2007-07-30 |
| 1730207705 | People Incorporated | Community Based Residential Treatment Facility, Mental Illness | 1319 Girard Ave N, Minneapolis, MN 55411-3128 | 2007-03-27 |
| 1154498871 | Kelly Norton Programs | Community Based Residential Treatment Facility, Mental Illness | 3104 E 58th St, Minneapolis, MN 55417-2800 | 2006-11-29 |
| 1194819169 | Touchstone Mental Health | Community Based Residential Treatment Facility, Mental Illness | 2516 E 24th St, Minneapolis, MN 55406-1209 | 2006-10-03 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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| 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.