Organization Active NPI

Estherra Care LLC

  • Assisted Living Facility
  • Minneapolis, MN
National Provider Identifier
1750980603
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ESTHERRA CARE LLC
Practice address
1120 Morgan Ave N
Minneapolis, MN 55411-3805
Phone
(952) 688-7164
Fax
(762) 210-5394
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Miss Esther Mokeira Wako, RN
Title
Director
Phone
(952) 688-7164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1120 Morgan Ave N
Minneapolis, MN 55411-3805

Mailing address

3257 98TH Cir N
Brooklyn Park, MN 55443-1846
Phone (952) 688-7164

Other practice location 1

5018 N 4th St
Minneapolis, MN 55430-3601
Phone (952) 688-7164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1750980603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 98TH CIR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431846",
            "telephone_number": "952-688-7164",
            "fax_number": "763-210-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MORGAN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113805",
            "telephone_number": "952-688-7164",
            "fax_number": "762-210-5394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5018 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554303601",
            "country_code": "US",
            "telephone_number": "952-688-7164",
            "fax_number": "763-210-5394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESTHERRA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "WAKO",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "MOKEIRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-688-7164",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 21, 2020; 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.