In My Father'S House

Organization Active NPI Assisted Living Facility · Roseville, MN

NPI 1003427477 · NPPES record last updated Aug 11, 2020

Key facts

NPI
1003427477
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
IN MY FATHER'S HOUSE
Practice address
3096 Snelling Ave N
Roseville, MN 55113-1659
Phone
(651) 636-3149
NPI assigned
Aug 11, 2020
Organization subpart
No

Authorized official

Name
Mrs. Sonia Deborah Asuncion Sotto
Title
Owner
Phone
(651) 636-3149

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2220627In My Father'S House, LLC
3096 Snelling Ave N, Roseville, MN 55113
Certificate of waiverApr 13, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

3096 Snelling Ave N
Roseville, MN 55113-1659

Mailing address

3096 Snelling Ave N
Roseville, MN 55113-1659
Phone (651) 636-3149

Other providers in Roseville, MN

All providers in Roseville, MN · Assisted Living Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.