Active NPI
Noah Assisting Living Inc
- Home Health Agency
- Minneapolis, MN
National Provider Identifier
1568084051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2192784 | Noah Assisting Living Inc | Certificate of waiver | Sep 14, 2026 |
National Provider Directory
National Provider DirectoryNPI 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.