Residential Care at Nine Mile Creek

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

374950 Issued in MN

Legal business name

RESIDENTIAL CARE AT NINE MILE CREEK

Practice address

10641 James Rd
Bloomington, MN 55431-4130

Phone

(952) 229-4213

NPI assigned

Oct 30, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Sadik Ali Abdi

Title

Owner

Phone

(612) 978-2238

Specialties & licenses 1

Addresses

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": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1154794089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10641 JAMES RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314130",
            "telephone_number": "952-229-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10641 JAMES RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314130",
            "telephone_number": "952-229-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL CARE AT NINE MILE CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "SADIK",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-978-2238",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "374950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Mae Remackel
• Kori Remer
• Renaissance Recuperative Care L.L.C.
• Richard Charles Render, DDS
• Cayla Renwick, DPT
• Resonance Chiropractic and Hoistic Health PLLC
• Resource Therapy and Consultation Services
• Anna Kate Restemayer, OT
• Restore & Rise Counseling PLLC
• Restwell Mattress Company

• Assisted Living Facility in Bloomington, MN
• Providers in Bloomington, 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 Oct 30, 2015; 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.