Provider Demographics
NPI:1225655608
Name:3MB HEALTH SERVICES
Entity Type:Organization
Organization Name:3MB HEALTH SERVICES
Other - Org Name:3MB HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ONWONA
Authorized Official - Last Name:APPIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-210-1561
Mailing Address - Street 1:1897 ROCHELLE CURV
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-3516
Mailing Address - Country:US
Mailing Address - Phone:651-210-1561
Mailing Address - Fax:952-513-7958
Practice Address - Street 1:7447 EGAN DR STE 100
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-2299
Practice Address - Country:US
Practice Address - Phone:165-121-0156
Practice Address - Fax:952-513-7958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitationGroup - Single Specialty
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN6695526Medicaid