Organization Active NPI

Heartfelt Care LLC

  • Assisted Living Facility
  • Maple Grove, MN
National Provider Identifier
1215476148
Registry record updated Feb 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HEARTFELT CARE LLC
Practice address
10344 Boundary Creek Ter
Maple Grove, MN 55369-2841
Phone
(612) 226-5157
NPI assigned
Feb 12, 2017
Last updated
Feb 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2017

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

Authorized official

Name
Ayehu Mengesha
Title
Owner
Phone
(612) 226-5157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

10344 Boundary Creek Ter
Maple Grove, MN 55369-2841

Mailing address

3050 Quinwood LN N
Plymouth, MN 55441-2807
Phone (612) 226-5157

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486857600000",
    "number": "1215476148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 QUINWOOD LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412807",
            "telephone_number": "612-226-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10344 BOUNDARY CREEK TER",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692841",
            "telephone_number": "612-226-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTFELT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-12",
        "last_updated": "2017-02-12",
        "status": "A",
        "authorized_official_last_name": "MENGESHA",
        "authorized_official_first_name": "AYEHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-226-5157"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 12, 2017; 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.