Organization Active NPI

3D Innovative Cares LLC

  • Assisted Living Facility
  • Brooklyn Park, MN
National Provider Identifier
1124881867
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
3D INNOVATIVE CARES LLC
Practice address
1924 Sugarloaf TRL
Brooklyn Park, MN 55444-1929
Phone
(310) 745-6387
NPI assigned
Feb 5, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Abisoye Akintan
Title
Manager
Phone
(310) 745-6387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1924 Sugarloaf TRL
Brooklyn Park, MN 55444-1929

Mailing address

8824 138TH St W
Savage, MN 55378-3130
Phone (310) 745-6387

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D23119233D Innovative Cares1924 Sugarloaf Trail, Brooklyn Park, MN 55444Certificate of waiverSep 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
3D Innovative Cares LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1124881867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8824 138TH ST W",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553783130",
            "telephone_number": "310-745-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 SUGARLOAF TRL",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441929",
            "telephone_number": "310-745-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D INNOVATIVE CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "AKINTAN",
        "authorized_official_first_name": "ABISOYE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-745-6387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.