Organization Active NPI

Noah Assisting Living Inc

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1568084051
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NOAH ASSISTING LIVING INC
Practice address
5100 Xerxes Ave N
Minneapolis, MN 55430-3325
Phone
(952) 204-3795
NPI assigned
May 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Ikram Omar
Title
Owner
Phone
(952) 219-2248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5100 Xerxes Ave N
Minneapolis, MN 55430-3325

Mailing address

13401 Morgan Ave S Apt 102
Burnsville, MN 55337-2051

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
24D2192784Noah Assisting Living Inc5100 Xerxes Ave N, Minneapolis, MN 55430Certificate of waiverSep 14, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1568084051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 MORGAN AVE S APT 102",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 XERXES AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303325",
            "telephone_number": "952-204-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOAH ASSISTING LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "IKRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-219-2248"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.