MESA, LLC (NPI# 1215554225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215554225 |
| Entity Type | Organization |
| Organization Name | MESA, LLC |
| Other Organization Name | MESA |
| Practice Address |
2603 Bloomington Ave Minneapolis MN 55407-1137 |
| Mailing Address |
2929 University Ave Se Apt 504 Minneapolis MN 55414-4434 |
| Practice Telephone | 6125015009 |
| Mailing Telephone | 6125015009 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | MOHAMUD AHMED (DIRECTOR) |
| Authorized Official Telephone | 6125015009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| MESA | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MESA, LLC | 2325 Homer Ross Loop, Mcminnville, OR 97128 |
| Street Address |
2603 BLOOMINGTON AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280408 | Convenient Care Inc. | Durable Medical Equipment & Medical Supplies | 1928 Portland Ave Apt S303, Minneapolis, MN 55404-3469 | 2020-06-17 |
| 1831720457 | Reemo Health, Inc | Durable Medical Equipment & Medical Supplies | 323 Washington Ave N Ste 300, Minneapolis, MN 55401-2206 | 2020-02-02 |
| 1942831839 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 4601 Snelling Ave, Minneapolis, MN 55406-4464 | 2020-01-29 |
| 1902443765 | Nasiye Group Home Corp | Durable Medical Equipment & Medical Supplies | 3913 4th Ave S, Minneapolis, MN 55409-1614 | 2019-11-28 |
| 1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
| 1912565136 | Dbm,llc | Durable Medical Equipment & Medical Supplies | 1206 Harmon Pl, Minneapolis, MN 55403-1919 | 2019-06-03 |
| 1073008264 | Tayin Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1005 E 24th St Ste 1005, Minneapolis, MN 55404-3833 | 2018-06-29 |
| 1275025447 | Independent Medical Supply L.l.c | Durable Medical Equipment & Medical Supplies | 2924 Anthony Ln Ste 105, Minneapolis, MN 55418-3280 | 2018-06-04 |
| 1821517053 | Human Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 2910 Pillsbury Ave S Apt 434, Minneapolis, MN 55408-5504 | 2017-09-19 |
| 1316463409 | Minneapolis Health Supplies | Durable Medical Equipment & Medical Supplies | 2751 Hennepin Ave Ste 1200, Minneapolis, MN 55408-1002 | 2017-08-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.