NPIMap

Organization Active NPI

Fortunate Homes LLC

  • In Home Supportive Care Agency
  • Maple Grove, MN
National Provider Identifier
1467257873
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FORTUNATE HOMES LLC
Doing business as
FORTUNATE HOMES-HCBS
Practice address
7006 E Fish Lake Rd
Maple Grove, MN 55311-2832
Phone
(952) 994-5356
Fax
(952) 674-7774
NPI assigned
Feb 18, 2025
Organization subpart
Yes
Parent organization
FORTUNATE HOMES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Susan Obwaya
Title
Ceo/Designator Manager
Phone
(952) 994-5356

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

7006 E Fish Lake Rd
Maple Grove, MN 55311-2832

Mailing address

7006 E Fish Lake Rd
Maple Grove, MN 55311-2832
Phone (952) 994-5356

Other names 1

  • FORTUNATE HOMES-HCBS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fortunate Homes LLC7 organizations share this tax ID, including this one
Part of
Fortunate Homes LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1467257873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7006 E FISH LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112832",
            "telephone_number": "952-994-5356",
            "fax_number": "952-674-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 E FISH LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112832",
            "telephone_number": "952-994-5356",
            "fax_number": "952-674-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNATE HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORTUNATE HOMES LLC",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "OBWAYA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO/DESIGNATOR MANAGER",
        "authorized_official_telephone_number": "952-994-5356"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORTUNATE HOMES-HCBS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.