Organization Active NPI

Rakhma, Inc.

  • Assisted Living Facility
  • Minneapolis, MN
National Provider Identifier
1194854026
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
333403 Issued in MN
Legal business name
RAKHMA, INC.
Practice address
4953 Aldrich Ave S
Minneapolis, MN 55419-5352
Phone
(612) 824-2345
Fax
(612) 824-3165
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janelle M Johnson
Title
Executive Director
Phone
(612) 824-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 333403 MN Primary

Addresses

Primary practice location

4953 Aldrich Ave S
Minneapolis, MN 55419-5352

Mailing address

4953 Aldrich Ave S
Minneapolis, MN 55419-5352
Phone (612) 824-2345

Other identifiers 5

IdentifierTypeStateIssuer
4990022OtherMNASSITED LIVING PLUS BILLI
AL0017OtherMNUCARE JOY HOME ID NUMBER
AL0030OtherMNUCARE GRACE HOUSE ID NUM.
AL0018OtherMNUCARE PEACE HOME ID NUMBE
14602OtherMNHEALTH PARTNERS AL PLUS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1029899Rakhma Inc4953 Aldrich Ave S, Minneapolis, MN 55419Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory

Locations

4953 Aldrich Ave S
Minneapolis, MN 55419
Phone (612) 824-2345

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194854026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 ALDRICH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195352",
            "telephone_number": "612-824-2345",
            "fax_number": "612-824-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 ALDRICH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195352",
            "telephone_number": "612-824-2345",
            "fax_number": "612-824-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAKHMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-824-2345"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "333403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSITED LIVING PLUS BILLI",
            "identifier": "4990022",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE JOY HOME ID NUMBER",
            "identifier": "AL0017",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE GRACE HOUSE ID NUM.",
            "identifier": "AL0030",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PEACE HOME ID NUMBE",
            "identifier": "AL0018",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS AL PLUS",
            "identifier": "14602",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.