Organization Active NPI

Altitude Living Inc

  • Home Health Agency
  • Wyoming, MN
National Provider Identifier
1619776325
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALTITUDE LIVING INC
Practice address
5681 277TH St
Wyoming, MN 55092-9364
Phone
(612) 246-2283
NPI assigned
Mar 13, 2025
Last updated
Mar 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Yasin Siyad
Title
Owner
Phone
(612) 246-2283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5681 277TH St
Wyoming, MN 55092-9364

Mailing address

6109 Blue Circle Dr Ste 1000
Minnetonka, MN 55343-9131

National Provider Directory

National Provider Directory

Locations

6109 Blue Circle Dr
Ste 1000
Minnetonka, MN 55343
Phone (952) 769-3682

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1619776325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 BLUE CIRCLE DR STE 1000",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5681 277TH ST",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550929364",
            "telephone_number": "612-246-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "SIYAD",
        "authorized_official_first_name": "YASIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-246-2283"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.