Carestay Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CARESTAY HOMES LLC

Practice address

7381 Memory LN NE
Fridley, MN 55432-3218

Phone

(612) 230-1238

Fax

(612) 435-0298

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Abdulrazaq Ahmed Jibar, HOME CARE DIRECTOR

Title

Owner

Phone

(612) 230-1238

Specialties & licenses 1

Addresses

Other names 1

• Carestay Homes LLC Other name

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": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1083209472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7381 MEMORY LN NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323218",
            "telephone_number": "612-230-1238",
            "fax_number": "612-435-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 MEMORY LN NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323218",
            "telephone_number": "612-230-1238",
            "fax_number": "612-435-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESTAY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "JIBAR",
        "authorized_official_first_name": "ABDULRAZAQ",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-230-1238",
        "authorized_official_credential": "HOME CARE DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carestay Homes LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Margaret Campbell, DO
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• Rebecca Cantwell, PA
• Xianwen Cao
• Carekey Health Inc
• Charlette Kay Carlotto, LICSW
• Kevin Gordon Carlson, LPCC, LADC
• Patrick David Carlson, D.P.T
• Carli Carrimon, LADC
• Katelyn Marie Cayton, PT, DPT

• Assisted Living Facility in Fridley, MN
• Providers in Fridley, 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 Mar 8, 2021; 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.