Plateau Management, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PLATEAU MANAGEMENT, LLC

Practice address

8848 Zealand Ave N
Brooklyn Park, MN 55445-1864

Phone

(763) 444-1361

Fax

(763) 444-1358

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Faisale Boukari

Title

Director of Operations/Owner

Phone

(763) 444-1361

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1346930401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8848 ZEALAND AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451864",
            "telephone_number": "763-444-1361",
            "fax_number": "763-444-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8848 ZEALAND AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554451864",
            "telephone_number": "763-444-1361",
            "fax_number": "763-444-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATEAU MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "BOUKARI",
        "authorized_official_first_name": "FAISALE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS/OWNER",
        "authorized_official_telephone_number": "763-444-1361"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brooklyn Park, MN
• Providers in Brooklyn 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 May 11, 2023; 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.