Lakeville Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKEVILLE ASSISTED LIVING LLC

Practice address

5928 Upper 179TH St W
Lakeville, MN 55044-5088

Phone

(612) 688-1062

NPI assigned

Jul 16, 2025

Last updated

Jul 16, 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

Ubah HassanNPI 1871151431

Title

Owner

Phone

(507) 271-4262

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, and the practitioner matching its NPPES authorized official.

• Ubah Abdi Hassan, APRN

  • Women's Health Nurse Practitioner
  • Minneapolis, MN
  • NPI 1871151431
  NPD Authorized official

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1083506091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5928 UPPER 179TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445088",
            "telephone_number": "612-688-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 UPPER 179TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445088",
            "telephone_number": "612-688-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVILLE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "UBAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-271-4262"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jacqueline Felinski Kurtz-Port, PSYD
• Thomas J Kyllo, PT
• John E Laco, DPM
• Lake Marion Chiropractic Center PA
• Lake Marion Dental Care
• Lakeville Behavioral Health, LLC
• Lakeville Community Chiropractic
• Lakeville Dental Associates, P.a.
• Lakeville Dental Associates, PA
• Lakeville Family Dental Center, P.L.L.C.

• Assisted Living Facility in Lakeville, MN
• Providers in Lakeville, 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 16, 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.