Provider Demographics
NPI:1568622660
Name:COSMOPOLITAN & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:COSMOPOLITAN & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ISSE
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-770-3502
Mailing Address - Street 1:711 W LAKE ST STE 506
Mailing Address - Street 2:506
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2986
Mailing Address - Country:US
Mailing Address - Phone:612-822-3830
Mailing Address - Fax:
Practice Address - Street 1:711 W LAKE ST STE 506
Practice Address - Street 2:506
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2986
Practice Address - Country:US
Practice Address - Phone:612-822-3830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle