Organization Active NPI

Jannah Health Services, LLC

  • Assisted Living Facility (Mental Illness)
  • Fridley, MN
National Provider Identifier
1396438305
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
JANNAH HEALTH SERVICES, LLC
Practice address
1472 66TH Ave NE
Fridley, MN 55432-4701
Phone
(619) 808-1700
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Ifrah A Jama, MANAGERNPI 1659056224
Title
Manager/Ceo
Phone
(619) 808-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

1472 66TH Ave NE
Fridley, MN 55432-4701

Mailing address

1472 66TH Ave NE
Fridley, MN 55432-4701
Phone (619) 808-1700

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1396438305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 66TH AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324701",
            "telephone_number": "619-808-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1472 66TH AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324701",
            "telephone_number": "619-808-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANNAH HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "IFRAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER/CEO",
        "authorized_official_telephone_number": "619-808-1700",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.