Ja'Le Innovative Homes LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JA'LE INNOVATIVE HOMES LLC

Practice address

8500 Normandale Lake Blvd Ste 350
Bloomington, MN 55437-3805

Phone

(888) 402-9606

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Jeannette Alexis Lewis, CNA

Title

Owner

Phone

(651) 270-5650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1447082615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 NORMANDALE LAKE BLVD STE 350",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373805",
            "telephone_number": "888-402-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 NORMANDALE LAKE BLVD STE 350",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373805",
            "telephone_number": "888-402-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA'LE INNOVATIVE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-270-5650",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed A Isse
• Elaine Janice Ito, PT
• Nicholas Itzin, M.D.
• Sonja Iverson-Hill, O.D.
• Katelyn Iversrud
• Jamie Jablonski, L.AC.
• Barbara Renee Jackman, CERTIFIED HEARING IN
• Brooke Jackson-Dessellier
• Jazmin Jackson
• Elly Marie Dorothy Jacob

• Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.