Family Alliance Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAMILY ALLIANCE HEALTHCARE LLC

Doing business as

Family Alliance Healthcare LLC

Practice address

5821 Cedar Lake Rd S Unit H-106
St Louis Park, MN 55416-1487

Phone

(763) 221-4774

Fax

(763) 269-7481

NPI assigned

Feb 2, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Goodie Oshiapi Iluebbey, REGISTERED NURSE

Title

RN

Phone

(763) 221-4774

Specialties & licenses 5

Addresses

Other names 1

• FAMILY ALLIANCE HEALTHCARE LLC Doing business as

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1205699113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 CEDAR LAKE RD S UNIT H-106",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161487",
            "telephone_number": "763-221-4774",
            "fax_number": "763-269-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 CEDAR LAKE RD S UNIT H-106",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161487",
            "telephone_number": "763-221-4774",
            "fax_number": "763-269-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ALLIANCE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "ILUEBBEY",
        "authorized_official_first_name": "GOODIE",
        "authorized_official_middle_name": "OSHIAPI",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "763-221-4774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY ALLIANCE HEALTHCARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY ALLIANCE HEALTHCARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Extendicare Homes, Inc. (Texas Terrace Care Center)
• Kelly Faber, DPT
• Sheila Maureen Fahey, D.C.
• Desiree Marie Falkowski
• Eseferuo Famati, DNP-PMHNP-BC, CNP
• Family Health Solutions LLC (Visiting Angels)
• Family Orthodontic Specialists PLC (Woodlake Orthodontics St Louis Park)
• Family Orthodontics PA
• Family Therapy & Recovery Ctr
• Family Tree Chiropractic Clinic

• Home Health Agency in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.