Active NPI
Heritage Grove Inc
- Home Health Agency
- Maple Grove, MN
National Provider Identifier
1194689059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Aide
- Maple Grove, MN
- NPI 1508720467
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.