Active NPI
Alta Homes LLC
- Rehabilitation Practitioner
- Minneapolis, MN
National Provider Identifier
1053123992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Legal business name
- ALTA HOMES LLC
- Practice address
- 2718 18TH Ave S Apt 2
Minneapolis, MN 55407-1260 - Phone
- (614) 961-2438
- NPI assigned
- Jan 27, 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
- Amina Adan Mohamed, NURSE PRACTITIONER
- Title
- Owner
- Phone
- (614) 961-2438
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
2718 18TH Ave S Apt 2
Minneapolis, MN 55407-1260
Mailing address
2718 18TH Ave S Apt 2
Minneapolis, MN 55407-1260
Phone (614) 961-2438
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Minneapolis, MN
- NPI 1144866336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1053123992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2718 18TH AVE S APT 2",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071260",
"telephone_number": "614-961-2438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2718 18TH AVE S APT 2",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071260",
"telephone_number": "614-961-2438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTA HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-26",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "AMINA",
"authorized_official_middle_name": "ADAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-961-2438",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"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 Jan 27, 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.