Organization Active NPI

Harmony Assisted Living

  • Assisted Living Facility
  • Roseville, MN
National Provider Identifier
1508737131
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HARMONY ASSISTED LIVING
Practice address
1519 Lydia Ave W
Roseville, MN 55113-1662
Phone
(763) 910-3792
Fax
(612) 246-4200
NPI assigned
Sep 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Nima A Mohamed
Title
Director
Phone
(763) 910-3792

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1519 Lydia Ave W
Roseville, MN 55113-1662

Mailing address

1519 Lydia Ave W
Roseville, MN 55113-1662
Phone (763) 910-3792

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2330334Harmony Assisted Living LLC1519 Lydia Ave W, Roseville, MN 55113Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1508737131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 LYDIA AVE W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131662",
            "telephone_number": "763-910-3792",
            "fax_number": "612-246-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 LYDIA AVE W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131662",
            "telephone_number": "763-910-3792",
            "fax_number": "612-246-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "NIMA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-910-3792"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.