Leeli Health Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEELI HEALTH CARE LLC

Practice address

7601 Aldrich Ave N
Brooklyn Park, MN 55444-2544

Phone

(651) 300-4971

Fax

(763) 207-1573

NPI assigned

Feb 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martha Mulbah

Title

RN

Phone

(651) 274-3648

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1003562562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 ALDRICH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554442544",
            "telephone_number": "651-300-4971",
            "fax_number": "763-207-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 ALDRICH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554442544",
            "telephone_number": "651-300-4971",
            "fax_number": "763-207-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEELI HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MULBAH",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "651-274-3648"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmulbah@leelihealthcare.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7601 Aldrich Ave N",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554442544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.