Organization Active NPI

Paradise Care Homes LLC

  • Assisted Living Facility
  • Brooklyn Park, MN
National Provider Identifier
1265916670
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PARADISE CARE HOMES LLC
Practice address
7709 Unity Ave N
Brooklyn Park, MN 55443-3020
Phone
(612) 502-1150
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Xuan Ly
Title
Owner/Manager
Phone
(612) 242-1316

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility 310400000X Primary
Home Delivered Meals 332U00000X
Respite Care 385H00000X

Addresses

Primary practice location

7709 Unity Ave N
Brooklyn Park, MN 55443-3020

Mailing address

7709 Unity Ave N
Brooklyn Park, MN 55443-3020
Phone (612) 502-1150

Other practice location 1

2501 E 24th St
Minneapolis, MN 55406-1208
Phone (612) 859-6065

Other practice location 2

4031 2nd Ave S
Minneapolis, MN 55409-1606
Phone (612) 859-6065

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
24D2169410Paradise Care Homes LLC7709 Unity Ave N, Brooklyn Park, MN 55443Certificate of waiverJul 18, 2027
24D2175297Paradise Care Homes LLC4031 2ND Ave South, Minneapolis, MN 55409Certificate of waiverNov 18, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1265916670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 UNITY AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433020",
            "telephone_number": "612-502-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 UNITY AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433020",
            "telephone_number": "612-502-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 E 24th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554061208",
            "country_code": "US",
            "telephone_number": "612-859-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4031 2nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554091606",
            "country_code": "US",
            "telephone_number": "612-859-6065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADISE CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "XUAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "612-242-1316"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.