Secured Health and Home Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SECURED HEALTH AND HOME ASSISTED LIVING LLC

Practice address

10410 Crocus St NW
Coon Rapids, MN 55433-4513

Phone

(763) 438-8869

Fax

(763) 207-1086

NPI assigned

Mar 8, 2023

Organization subpart

Yes

Parent organization

SECURED HEALTH AND HOME CARE LLCAs reported in NPPES

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

Authorized official

Name

Abiola Ijadimbola, ALD

Title

Administrative Director

Phone

(763) 438-8869

Specialties & licenses 3

Addresses

Other names 1

• Secured Health Assisted Living Doing business as

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1508566555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 104TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431030",
            "telephone_number": "763-438-8869",
            "fax_number": "763-207-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 CROCUS ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334513",
            "telephone_number": "763-438-8869",
            "fax_number": "763-207-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURED HEALTH AND HOME ASSISTED LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SECURED HEALTH AND HOME CARE LLC",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "IJADIMBOLA",
        "authorized_official_first_name": "ABIOLA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "763-438-8869",
        "authorized_official_credential": "ALD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Secured Health Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jack Scudder
• Kristen Michelle Seabolt, MHP
• Suzie Seabright, MASSAGE THERAPIST/BO
• Allen Seaquist, MA, LPCC
• Kimberly Sebo, CNP
• Melissa Mary Sedey, CNP
• Eli Sedo
• Jessica Lynn Seiler, LADC/ LPCC CANDIDATE
• Select Senior Living of Coon Rapids, LLC
• Sere Path Wellness Center LLC

• Assisted Living Facility in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.