# MASH CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801489976
- **Authorized official:** MR. MOSES OYE FASANYA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (651) 338-2735

## Contact information

- **Practice address:** 597 WOODDUCK DR UNIT C, WOODBURY, MN 55125-1833
- **Practice address phone:** (651) 338-2735
- **Mailing address:** 597 WOODDUCK DR UNIT C, WOODBURY, MN 55125-1833
- **Mailing address phone:** (651) 338-2735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/18/2021
- **Last updated:** 02/18/2021