NPIMap

Organization Active NPI

Lifeline Care LLC

  • Community/Behavioral Health Agency
  • Roseville, MN
National Provider Identifier
1093396574
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFELINE CARE LLC
Practice address
3101 Old Highway 8 Ste 304D
Roseville, MN 55113-1072
Phone
(612) 512-0366
NPI assigned
Apr 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Abdiaziz RashidNPI 1447831664
Title
Owner
Phone
(612) 245-8614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3101 Old Highway 8 Ste 304D
Roseville, MN 55113-1072

Mailing address

3101 Old Highway 8 Ste 304D
Roseville, MN 55113-1072
Phone (612) 512-0366

National Provider Directory

National Provider Directory

Locations

3101 Old Highway 8
Ste 304D
Roseville, MN 55113
Phone (612) 512-0366

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1093396574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 OLD HIGHWAY 8 STE 304D",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131072",
            "telephone_number": "612-512-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OLD HIGHWAY 8 STE 304D",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131072",
            "telephone_number": "612-512-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "ABDIAZIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-245-8614"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.