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EVIDENT SOCIAL SERVICES LLC
NPI 1649058652
Clinic/Center in St Paul Park, MN

Active since September 20, 2023CLIA 24D2306469 · Waiver
940 HASTINGS AVE, ST PAUL PARK, MN 55071(651) 300-0140 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evident Social Services Llc NPPES

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

EVIDENT SOCIAL SERVICES LLC (NPI 1649058652) is a healthcare organization registered as a clinic/center in St Paul Park, Minnesota and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Nche Mou-bayong, Owner, as its authorized official.

NPPES Registry Identity

NPI1649058652
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVIDENT SOCIAL SERVICES LLC
Location Address940 HASTINGS AVESt Paul Park, MN 55071-1315
Mailing Address940 Hastings AveSt Paul Park, MN 55071-1315
Phone(651) 300-0140
Organization SubpartNo
Authorized OfficialNche Mou-bayongOwner · (651) 300-0140
Enumeration DateSeptember 20, 2023
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1649058652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
940 HASTINGS AVE, St Paul Park, MN 55071
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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 24D2306469

Evident Social Services · Bloomington, MN
Active · expires Jun 17, 2028
CLIA Number24D2306469
Laboratory TypeIntensive Residential Tre
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorNche Moubayong
Laboratory Phone(651) 300-0140
Laboratory LocationEvident Social Services1558 East 80th St, Bloomington, MN 55425
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

EVIDENT HEALTHCARE MANAGEMENT LLC
Clinic/Center
940 HASTINGS AVE
ST PAUL PARK, MN 55071
Washington County (651) 300-0140
NICOLE DAVIS MSW, LICSW, LADC
Counselor (Mental Health)
940 HASTINGS AVE
ST PAUL PARK, MN 55071
Washington County (651) 354-0430
EVIDENT TRANSPORT LLC
Clinic/Center
940 HASTINGS AVE
ST PAUL PARK, MN 55071
Washington County (651) 300-0140

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 Evident Social Services LLC's NPI number?

The NPI number for Evident Social Services LLC is 1649058652. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Evident Social Services LLC located?

Evident Social Services LLC is located at 940 Hastings Ave, St Paul Park, MN 55071. The listed phone number is (651) 300-0140.

What is Evident Social Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Evident Social Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2306469) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evident Social Services LLC accept?

Health plans from HealthPartners list Evident Social Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evident Social Services LLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.