Provider Demographics
NPI:1689558462
Name:MOHAMED, CAYNI
Entity type:Individual
Prefix:MRS
First Name:CAYNI
Middle Name:
Last Name:MOHAMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8030 OLD CEDAR AVE S STE 211
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1215
Mailing Address - Country:US
Mailing Address - Phone:952-299-9227
Mailing Address - Fax:
Practice Address - Street 1:8030 OLD CEDAR AVE S STE 211
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1215
Practice Address - Country:US
Practice Address - Phone:952-299-9227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide