Orchid Assisted Living Service Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ORCHID ASSISTED LIVING SERVICE INC.

Practice address

15965 Elmwood Way
Apple Valley, MN 55124-4250

Phone

(612) 404-8682

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Abdirahman Ali Mohamed

Title

Administrator

Phone

(612) 404-8682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073284147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15965 ELMWOOD WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244250",
            "telephone_number": "612-404-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15965 ELMWOOD WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244250",
            "telephone_number": "612-404-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID ASSISTED LIVING SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-09-11",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-404-8682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Apple Valley, MN
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• Nursing Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.