Central Lakes Health Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

382287 Issued in MN

Legal business name

CENTRAL LAKES HEALTH CARE SERVICES LLC

Practice address

2355 Highway 36 W
Roseville, MN 55113-3902

Phone

(763) 377-2418

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Shafi AbdulleNPI 1619525987

Title

Ceo

Phone

(612) 598-0652

Specialties & licenses 1

Addresses

Other names 1

• n/a Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shafi Abdulle, CNP

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1619525987
  NPD Authorized official

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033632740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 MN-36",
            "address_2": "410",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "763-377-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133902",
            "telephone_number": "763-377-2418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9455 jarrod Ave S",
            "address_purpose": "LOCATION",
            "city": "cottage Grove",
            "state": "MN",
            "postal_code": "55016",
            "country_code": "US",
            "telephone_number": "763-377-2418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 Highway 36 W",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133902",
            "country_code": "US",
            "telephone_number": "763-377-2418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL LAKES HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-01",
        "status": "A",
        "authorized_official_last_name": "ABDULLE",
        "authorized_official_first_name": "SHAFI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-598-0652",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "382287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John M Caspers, MD
• Becky Beese Cassavant
• Mark Grady Catlin, MD
• Cedarwood Counseling, LLC
• Center for Behavioral Health
• Alea Joy Chalmers, RD
• Patricia Chamberlain
• David T Chang, MD
• Ta Linda Chang, LAC
• Micaela T Chatman, MD

• Home Health Agency in Roseville, MN
• Providers in Roseville, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.