Lifearc Ventures

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIFEARC VENTURES

Practice address

3130 Northdale Blvd NW Apt 308
Coon Rapids, MN 55433-7421

Phone

(612) 512-9006

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Fadumo HusseinNPI 1962162834

Title

Owner

Phone

(612) 512-9006

Specialties & licenses 1

Addresses

Practitioners 1

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

• Fadumo Hussein

  • Behavior Technician
  • Plymouth, MN
  • NPI 1962162834
  NPD Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1053187229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 NORTHDALE BLVD NW APT 308",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554337421",
            "telephone_number": "612-512-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 NORTHDALE BLVD NW APT 308",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554337421",
            "telephone_number": "612-512-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEARC VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "FADUMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-512-9006"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Leyh, CRNA
• Richard G Leyh, CRNA
• Liberty Care LLC
• Liberty Oxygen and Home Care, Inc
• Megan Marie Lidtke
• Lighted Pathways Therapy, LLC
• Ibukunoluwa Lijadu
• Stacey Lillebo-Miller, LICSW
• Sarai Lillie
• Susan Hye Yong Lim, MD

• Home Health Agency in Coon Rapids, MN
• Providers in Coon Rapids, 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 Nov 29, 2023; 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.