Active NPI
3D Innovative Cares LLC
- Assisted Living Facility
- Brooklyn Park, MN
National Provider Identifier
1124881867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2311923 | 3D Innovative Cares | Certificate of waiver | Sep 30, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- 3D Innovative Cares LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Coon Rapids, MN
- NPI 1811872179
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.