Active NPI
Rakhma, Inc.
- Assisted Living Facility
- Minneapolis, MN
National Provider Identifier
1194854026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 333403
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4990022 | Other | MN | ASSITED LIVING PLUS BILLI |
| AL0017 | Other | MN | UCARE JOY HOME ID NUMBER |
| AL0030 | Other | MN | UCARE GRACE HOUSE ID NUM. |
| AL0018 | Other | MN | UCARE PEACE HOME ID NUMBE |
| 14602 | Other | MN | HEALTH PARTNERS AL PLUS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1029899 | Rakhma Inc | Certificate of waiver | Aug 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.