Luella'S House of Care, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

LUELLA'S HOUSE OF CARE, LLC

Practice address

151 Silver Lake Rd Suite #2
New Brighton, MN 55112

Phone

(612) 564-8609

Fax

(612) 564-8609

NPI assigned

Sep 8, 2007

Organization subpart

No

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

Authorized official

Name

Omar Sayid-Ahmed

Title

Owner

Phone

(612) 564-8609

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1427243922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SILVER LAKE RD SUITE #2",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "612-564-8609",
            "fax_number": "612-564-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SILVER LAKE RD SUITE #2",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "612-564-8609",
            "fax_number": "612-564-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUELLA'S HOUSE OF CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-08",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "SAYID-AHMED",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-564-8609"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajda Lommen, MSW, LICSW
• Long Lake Family Denistry
• Shane Raymond Long, L.M.F.T.
• Heather Lucas, PHD, LP
• Mackenzie Marie Lucier, LADC
• Kari Wiggins Lukken, OTR/L
• Jacob Charles Lusk, LPCC
• Kristine L. Lutz, MA, LMFT
• Olivia Katherine Maciej, LPCC
• Rachel Lynn Mack, PSY.D, L.P.

• Custodial Care Facility in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Custodial Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.