The Beatitudes Homes, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE BEATITUDES HOMES, LLC

Practice address

1609 84TH Ave N
Brooklyn Park, MN 55444-1481

Phone

(763) 501-9192

Fax

(888) 349-5754

NPI assigned

Sep 16, 2019

Organization subpart

No

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

Authorized official

Name

Sonie Kpanaku, RN, BSN, PHN

Title

Director of Nursing

Phone

(612) 868-3721

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1518517150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 31ST PL NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553763076",
            "telephone_number": "762-501-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 84TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441481",
            "telephone_number": "763-501-9192",
            "fax_number": "888-349-5754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13818 78th Ave N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553112225",
            "country_code": "US",
            "telephone_number": "763-501-9192",
            "fax_number": "888-349-5754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3812 Commodore Dr",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554292406",
            "country_code": "US",
            "telephone_number": "763-501-9192",
            "fax_number": "888-349-5754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE BEATITUDES HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "KPANAKU",
        "authorized_official_first_name": "SONIE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "612-868-3721",
        "authorized_official_credential": "RN, BSN, PHN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OUTLOOK",
            "affiliation": "N",
            "address_1": "10315 31st Pl NE",
            "city": "Saint Michael",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553763076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Brooklyn Park, MN
• Providers in Brooklyn Park, 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 Sep 23, 2021; 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.