Lakeville Relief Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LAKEVILLE RELIEF CARE

Practice address

5661 162ND St W
Lakeville, MN 55044-2271

Phone

(619) 855-7078

NPI assigned

Jul 10, 2025

Last updated

Jul 10, 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

Waris Abdi, NPNPI 1174234942

Title

Supervisor

Phone

(619) 855-7078

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Waris Mohamud Abdi

  • Family Nurse Practitioner
  • Saint Paul, MN
  • NPI 1174234942
  NPD (past) Authorized official

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1497646327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5661 162ND ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550442271",
            "telephone_number": "619-855-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5661 162ND ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550442271",
            "telephone_number": "619-855-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVILLE RELIEF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "WARIS",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "619-855-7078",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP UMPI",
            "identifier": "A497491900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeville Foot and Ankle Practice PLLC
• Lakeville Integrated Health Clinic Inc.
• Lakeville Integrative Medicine Clinic
• Lakeville Modern Dentistry, PLLC
• Lakeville Orthodontic Associates LLC
• Lakeville Snyder Drug
• Debra J Lakin, RPH
• Laura Jane Lambert, MA, LPCC
• Carolyn June Laney, L.AC.
• Tamara Langley

• Home Health Agency in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.