Michaela Residential Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MICHAELA RESIDENTIAL CARE LLC

Practice address

312 74TH Ave N
Brooklyn Park, MN 55444-3000

Phone

(952) 688-1026

NPI assigned

May 28, 2025

Last updated

May 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Esther Gobah FaresNPI 1609666577

Title

Administrator/Owner

Phone

(952) 688-1026

Specialties & licenses 1

Addresses

Other names 1

• Michaela Residential Care LLC Former legal business name

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Esther Gobah Fares

  • Homemaker
  • Brooklyn Park, MN
  • NPI 1609666577
  NPD Authorized official

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1194518373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 74TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554443000",
            "telephone_number": "952-688-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 74TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554443000",
            "telephone_number": "952-688-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELA RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "FARES",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "GOBAH",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "952-688-1026"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michaela Residential Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, 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 May 28, 2025; 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.