Organization Active NPI

Silverleaf LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Minneapolis, MN
National Provider Identifier
1043039696
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SILVERLEAF LLC
Practice address
1405 Lilac Dr N # 251F
Minneapolis, MN 55422-4535
Phone
(612) 636-3060
NPI assigned
Oct 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Abdalla A Ali
Title
Owner
Phone
(651) 382-6292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1405 Lilac Dr N # 251F
Minneapolis, MN 55422-4535

Mailing address

1405 Lilac Dr N # 251F
Golden Valley, MN 55422-4535

National Provider Directory

National Provider Directory

Locations

1405 Lilac Dr N
#251F
Minneapolis, MN 55422
Phone (612) 636-3060

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1043039696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N # 251F",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LILAC DR N # 251F",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554224535",
            "telephone_number": "612-636-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERLEAF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABDALLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-382-6292"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.