Acacia Grove Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ACACIA GROVE ASSISTED LIVING LLC

Practice address

13416 Penn Ave S
Burnsville, MN 55337-2021

Phone

(952) 228-1187

NPI assigned

Feb 28, 2025

Last updated

Jul 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hafsa Ahmad

Title

Director

Phone

(952) 228-1187

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1063219640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13416 PENN AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372021",
            "telephone_number": "952-228-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13416 PENN AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372021",
            "telephone_number": "952-228-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA GROVE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "HAFSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-228-1187"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.