Organization Active NPI

Heritage Grove Inc

  • Home Health Agency
  • Maple Grove, MN
National Provider Identifier
1194689059
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HERITAGE GROVE INC
Practice address
13555 Territorial Cir N
Maple Grove, MN 55369-4304
Phone
(571) 789-5282
NPI assigned
Dec 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Fahima Abdulkadir
Title
Owner
Phone
(202) 365-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13555 Territorial Cir N
Maple Grove, MN 55369-4304

Mailing address

13555 Territorial Cir N
Maple Grove, MN 55369-4304
Phone (202) 365-2191

National Provider Directory

National Provider Directory
Tax ID family
Heritage Grove Inc2 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": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1194689059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 TERRITORIAL CIR N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694304",
            "telephone_number": "202-365-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 TERRITORIAL CIR N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694304",
            "telephone_number": "571-789-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE GROVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-14",
        "status": "A",
        "authorized_official_last_name": "ABDULKADIR",
        "authorized_official_first_name": "FAHIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-365-2191"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.