Organization Active NPI

Gardenview Home Health LLC

  • Assisted Living Facility
  • Bloomington, MN
National Provider Identifier
1033810015
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GARDENVIEW HOME HEALTH LLC
Practice address
401 E 100TH St
Bloomington, MN 55420-5031
Phone
(612) 229-4752
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Sagal Abdurahman Mohamed
Title
Assisted Living Director
Phone
(612) 229-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

401 E 100TH St
Bloomington, MN 55420-5031

Mailing address

401 E 100TH St
Bloomington, MN 55420-5031
Phone (612) 229-4752

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2282519Gardenview Home Health LLC401 E 100TH St, Bloomington, MN 55420Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1033810015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 100TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205031",
            "telephone_number": "612-229-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 100TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205031",
            "telephone_number": "612-229-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENVIEW HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SAGAL",
        "authorized_official_middle_name": "ABDURAHMAN",
        "authorized_official_title_or_position": "ASSISTED LIVING DIRECTOR",
        "authorized_official_telephone_number": "612-229-4752"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.