MAHUBE-OTWA COMMUNITY ACTION PARTNERSHIP
NPI 1285910596
In Home Supportive Care in Detroit Lakes, MN

Q: What is Mahube-Otwa Community Action Partnership's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since November 01, 2011CLIA 24D0856659 · Waiver

1125 W RIVER RD, DETROIT LAKES, MN 56501(218) 847-1385(218) 847-1388 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mahube-otwa Community Action Partnership NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAHUBE-OTWA COMMUNITY ACTION PARTNERSHIP (NPI 1285910596) is a healthcare organization registered as an in home supportive care in Detroit Lakes, Minnesota and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Elizabeth Kuoppala, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1285910596

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameMAHUBE-OTWA COMMUNITY ACTION PARTNERSHIP

Location Address1125 W RIVER RDDetroit Lakes, MN 56501-2722

Mailing AddressPo Box 747Detroit Lakes, MN 56502-0747 · (218) 847-1385 · Fax (218) 847-1388

Phone(218) 847-1385

Fax(218) 847-1388

Organization SubpartNo

Authorized OfficialElizabeth KuoppalaExecutive Director · (218) 847-1385

Enumeration DateNovember 1, 2011

Last NPPES UpdateMay 7, 2019

✔ NPI 1285910596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

License✔ Licensed in MN · A246932400

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

1125 W RIVER RD, Detroit Lakes, MN 56501

Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0856659

Mahube-Otwa Community Action Partnership, Inc · Detroit Lakes, MN

Active · expires Aug 31, 2026

CLIA Number24D0856659

Laboratory TypeFamily Planning

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorLindsey Olson

Laboratory Phone(218) 739-0311

Laboratory LocationMahube-Otwa Community Action Partnership, Inc1125 West River Road, Detroit Lakes, MN 56501

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA RAE VANROEKEL KUISMI RNC/FNP

Nurse Practitioner (Family)

1125 W RIVER RD
DETROIT LAKES, MN 56501

Becker County (218) 844-5832

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahube-Otwa Community Action Partnership's NPI number?

The NPI number for Mahube-Otwa Community Action Partnership is 1285910596. It was assigned to this organization in the NPPES registry on November 1, 2011.

Where is Mahube-Otwa Community Action Partnership located?

Mahube-Otwa Community Action Partnership is located at 1125 W River Rd, Detroit Lakes, MN 56501. The listed phone number is (218) 847-1385.

What is Mahube-Otwa Community Action Partnership's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Mahube-Otwa Community Action Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0856659) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mahube-Otwa Community Action Partnership was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.