NPIMap

Organization Active NPI

Fortunate Homes LLC

  • Respite Care
  • Minneapolis, MN
National Provider Identifier
1679350425
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
FORTUNATE HOMES LLC
Practice address
5738 33Rd Ave S
Minneapolis, MN 55417-2857
Phone
(952) 994-5356
Fax
(952) 674-7774
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Susan Obwaya, LPN
Title
Ceo/Owner
Phone
(952) 994-5356

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary
Respite Care Camp 385HR2050X

Addresses

Primary practice location

5738 33Rd Ave S
Minneapolis, MN 55417-2857

Mailing address

7006 E Fish Lake Rd
Maple Grove, MN 55311-2832
Phone (952) 674-7774

National Provider Directory

National Provider Directory
Tax ID family
Fortunate Homes LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1679350425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7006 E FISH LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112832",
            "telephone_number": "952-674-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 33RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172857",
            "telephone_number": "952-994-5356",
            "fax_number": "952-674-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNATE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "OBWAYA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "952-994-5356",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 18, 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.