Organization Active NPI

Musa Miracle Living Inc

  • Assisted Living Facility
  • Rochester, MN
National Provider Identifier
1679383939
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MUSA MIRACLE LIVING INC
Practice address
3239 Lakeridge Dr NW
Rochester, MN 55901-6566
Phone
(507) 288-1251
NPI assigned
Jan 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Warda Mohamed Salah
Title
Ceo
Phone
(507) 990-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3239 Lakeridge Dr NW
Rochester, MN 55901-6566

Mailing address

3239 Lakeridge Dr NW
Rochester, MN 55901-6566
Phone (507) 288-1251

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2314042Musa Miracle Living Inc3239 Lakeridge Dr NW, Rochester, MN 55901Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1679383939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3239 LAKERIDGE DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016566",
            "telephone_number": "507-288-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 LAKERIDGE DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016566",
            "telephone_number": "507-288-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSA MIRACLE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "SALAH",
        "authorized_official_first_name": "WARDA",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-990-3255"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.