Travel Health 365 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TRAVEL HEALTH 365 LLC

Practice address

1695 County Road D E Apt 236
Maplewood, MN 55109-5329

Phone

(763) 286-6873

NPI assigned

Mar 25, 2025

Organization subpart

No

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

Authorized official

Name

Fartun A Mohamed

Title

Manager

Phone

(763) 268-6873

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1629870217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 COUNTY ROAD D E APT 236",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095329",
            "telephone_number": "763-286-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 COUNTY ROAD D E APT 236",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095329",
            "telephone_number": "763-286-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVEL HEALTH 365 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "FARTUN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-268-6873"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.