Provider Demographics
NPI:1699658153
Name:COMMUNITY SERVICES OF MINNESOTA INC
Entity type:Organization
Organization Name:COMMUNITY SERVICES OF MINNESOTA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLANREWAJU
Authorized Official - Middle Name:TUNDE
Authorized Official - Last Name:AJALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-706-7317
Mailing Address - Street 1:13750 CROSSTOWN DR NW STE 30
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MN
Mailing Address - Zip Code:55304-3903
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13750 CROSSTOWN DR NW STE 30
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-3903
Practice Address - Country:US
Practice Address - Phone:651-706-7317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health