Healthcare Provider Details

I. General information

NPI: 1912871716
Provider Name (Legal Business Name): FINISH THE RACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4847 ALDRICH AVE N
MINNEAPOLIS MN
55430-3530
US

IV. Provider business mailing address

4847 ALDRICH AVE N
MINNEAPOLIS MN
55430-3530
US

V. Phone/Fax

Practice location:
  • Phone: 612-389-0555
  • Fax: 612-294-6553
Mailing address:
  • Phone: 612-355-6278
  • Fax: 612-294-6553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MAQIUITH NICHOLSON
Title or Position: OWNER
Credential:
Phone: 612-389-0555