NPI 1154980233 · live from the CMS NPI Registry
Access Group Home LLC
Assisted Living Facility in Minneapolis, MN. National Provider Identifier 1154980233, active.
NPI record
| NPI | 1154980233 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Assisted Living Facility 310400000X |
| Practice location | 1122 Upton Ave N, Minneapolis, MN 55411 |
| Practice phone | 612-735-5294 |
| Enumerated | June 11, 2019 |
| Last updated | June 15, 2019 |
| Authorized official | Amino Abdi, Owner/Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | — |
| Nursing Care | 251J00000X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Home Delivered Meals | 332U00000X | — |
| Assisted Living Facility primary | 310400000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.