Sisters Supportive Living LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SISTERS SUPPORTIVE LIVING LLC

Practice address

12173 Waconia St NE Unit a
Blaine, MN 55449-5398

Phone

(612) 358-3511

NPI assigned

Dec 5, 2025

Last updated

Dec 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Monique Miller

Title

Owner Case Manager

Phone

(612) 358-3511

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1457214454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12173 WACONIA ST NE UNIT A",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495398",
            "telephone_number": "612-358-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12173 WACONIA ST NE UNIT A",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495398",
            "telephone_number": "612-358-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER CASE MANAGER",
        "authorized_official_telephone_number": "612-358-3511"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.