Active NPI
Alliance Residential Services LLC
- In Home Supportive Care Agency
- Plymouth, MN
National Provider Identifier
1043016355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ALLIANCE RESIDENTIAL SERVICES LLC
- Practice address
- 4945 Alvarado LN N
Plymouth, MN 55446-3066 - Phone
- (763) 442-7139
- NPI assigned
- Feb 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin M Nyangena
- Title
- Ceo
- Phone
- (763) 442-7139
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4945 Alvarado LN N
Plymouth, MN 55446-3066
Mailing address
4945 Alvarado LN N
Plymouth, MN 55446-3066
Phone (763) 442-7139
Other names 1
- Alliance Homes
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743552000000",
"number": "1043016355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4945 ALVARADO LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463066",
"telephone_number": "763-442-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4945 ALVARADO LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463066",
"telephone_number": "763-442-7139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE RESIDENTIAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A",
"authorized_official_last_name": "NYANGENA",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "763-442-7139"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alliance Homes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.