Active NPI
Heartfelt Care LLC
- Assisted Living Facility
- Maple Grove, MN
National Provider Identifier
1215476148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2017
- 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
- Ayehu Mengesha
- Title
- Owner
- Phone
- (612) 226-5157
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.