Organization Active NPI

Aaliyasha Loving Home LLC.

  • Home Health Agency
  • Crystal, MN
National Provider Identifier
1679189781
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AALIYASHA LOVING HOME LLC.
Practice address
5509 Yates Ave N
Crystal, MN 55429-3130
Phone
(612) 387-6629
Fax
(763) 276-1206
NPI assigned
Sep 23, 2020
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Albert Goethe TarpehNPI 1043598048
Title
Owner
Phone
(612) 387-6629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

5509 Yates Ave N
Crystal, MN 55429-3130

Mailing address

19485 Boston St NW
Elk River, MN 55330-4121
Phone (612) 387-6629

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1679189781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19485 BOSTON ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304121",
            "telephone_number": "612-387-6629",
            "fax_number": "763-276-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 YATES AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293130",
            "telephone_number": "612-387-6629",
            "fax_number": "763-276-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AALIYASHA LOVING HOME LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "TARPEH",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "GOETHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-387-6629"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.