Provider Demographics
NPI:1285392795
Name:OPEN MINDED CARE LLC
Entity type:Organization
Organization Name:OPEN MINDED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:JINED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-273-6076
Mailing Address - Street 1:PO BOX 8422
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53708-8422
Mailing Address - Country:US
Mailing Address - Phone:763-273-6076
Mailing Address - Fax:
Practice Address - Street 1:1244 HUXLEY ST UNIT A107
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-4254
Practice Address - Country:US
Practice Address - Phone:763-273-6076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)