Organization Active NPI

Abundant Care Residential Services

  • Assisted Living Facility
  • Andover, MN
National Provider Identifier
1740194935
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ABUNDANT CARE RESIDENTIAL SERVICES
Practice address
2234 145TH Ave NW
Andover, MN 55304-3345
Phone
(763) 516-8536
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Ms. Miriam Orucho-Ogutu, CEO/OWNER
Title
Assisted Living Director
Phone
(763) 516-8536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

2234 145TH Ave NW
Andover, MN 55304-3345

Mailing address

2234 145TH Ave NW
Andover, MN 55304-3345
Phone (763) 516-8536

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1740194935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 145TH AVE NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043345",
            "telephone_number": "763-516-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 145TH AVE NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553043345",
            "telephone_number": "763-516-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT CARE RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "ORUCHO-OGUTU",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "ASSISTED LIVING DIRECTOR",
        "authorized_official_telephone_number": "763-516-8536",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO/OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.