Organization Active NPI

Uplifted Care Services LLC

  • Assisted Living Facility (Mental Illness)
  • Brooklyn Park, MN
National Provider Identifier
1740724491
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
379763 Issued in MN
Legal business name
UPLIFTED CARE SERVICES LLC
Practice address
3340 Brookdale Dr N
Brooklyn Park, MN 55443-2863
Phone
(763) 280-3236
Fax
(888) 588-3166
NPI assigned
Dec 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Mr. William Akuma, MBA
Title
Administrator
Phone
(612) 978-7620

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 379763 MN
Assisted Living Facility (Mental Illness) 3104A0625X 379763 MN Primary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 379763 MN
Custodial Care Facility 311Z00000X 379763 MN
Adult Care Home Facility 311ZA0620X 379763 MN
Home Delivered Meals 332U00000X 379763 MN
Respite Care 385H00000X 379763 MN
Respite Care Camp 385HR2050X 379763 MN
Child Mental Illness Respite Care 385HR2055X 379763 MN
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 379763 MN
Child Physical Disabilities Respite Care 385HR2065X 379763 MN

Addresses

Primary practice location

3340 Brookdale Dr N
Brooklyn Park, MN 55443-2863

Mailing address

3340 Brookdale Dr N
Brooklyn Park, MN 55443-2863
Phone (763) 280-3236

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1740724491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 BROOKDALE DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432863",
            "telephone_number": "763-280-3236",
            "fax_number": "888-588-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 BROOKDALE DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432863",
            "telephone_number": "763-280-3236",
            "fax_number": "888-588-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFTED CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "AKUMA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-978-7620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": "379763",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MN",
            "license": "379763",
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MN",
            "license": "379763",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MN",
            "license": "379763",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "379763",
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "MN",
            "license": "379763",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MN",
            "license": "379763",
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "MN",
            "license": "379763",
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "MN",
            "license": "379763",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "MN",
            "license": "379763",
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "MN",
            "license": "379763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.