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Angel Care Assisted Living LLC

Organization Active NPI Assisted Living Facility · Minneapolis, MN

NPI 1619791928 · NPPES record last updated Nov 13, 2024

Key facts

NPI
1619791928
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
ANGEL CARE ASSISTED LIVING LLC
Practice address
2227 Bloomington Ave
Minneapolis, MN 55404-3039
Phone
(619) 808-6167
Fax
(612) 500-4790
NPI assigned
Nov 13, 2024
Organization subpart
No

Authorized official

Name
Zamzam Abdi
Title
Owner
Phone
(619) 808-6167

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Zamzam A Abdi Personal Care Attendant · Golden Valley, MN · NPI 1528767670
    NPD

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2319967Angel Care Assisted Living LLC
2227 Bloomington Ave S, Minneapolis, MN 55404		Certificate of waiverMar 10, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

2227 Bloomington Ave
Minneapolis, MN 55404-3039

Mailing address

2227 Bloomington Ave
Minneapolis, MN 55404-3039
Phone (619) 808-6167

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Assisted Living Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.