Active NPI
Paradise Care Homes LLC
- Assisted Living Facility
- Brooklyn Park, MN
National Provider Identifier
1265916670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 24D2169410 | Paradise Care Homes LLC | Certificate of waiver | Jul 18, 2027 |
| 24D2175297 | Paradise Care Homes LLC | Certificate of waiver | Nov 18, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dietary Manager
- Minneapolis, MN
- NPI 1184983751
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.