Access Group Home LLC
Organization Active NPI Assisted Living Facility · Minneapolis, MN
NPI 1154980233 · NPPES record last updated Jun 15, 2019
Key facts
- NPI
- 1154980233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- ACCESS GROUP HOME LLC
- Practice address
- 1122 Upton Ave N
Minneapolis, MN 55411 - Phone
- (612) 735-5294
- NPI assigned
- Jun 11, 2019
- Organization subpart
- No
Authorized official
- Name
- Amino Sheikh Abdi
- Title
- Owner/Manager
- Phone
- (612) 735-5294
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Assisted Living Facility | 310400000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Home Delivered Meals | 332U00000X |
Addresses
Primary practice location
1122 Upton Ave N
Minneapolis, MN 55411
Mailing address
1122 Upton Ave N
Minneapolis, MN 55411
Phone (612) 735-5294
Other practice location 1
1421 Park Ave S Suite 202 Unit A
Minneapolis, MN 55404
Phone (612) 735-5294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34651 | Medicaid | MN |
Other providers in Minneapolis, MN
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- Access Chiropractic Clinic
- Access Health
- Access Health Care LLC
- Access Health Center, LLC
- Access Healthcare Services, LLC
- Access Healthcare Services, LLC
All providers in Minneapolis, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.