Active NPI
Aliya Care Inc
- Nursing Care Agency
- Blaine, MN
National Provider Identifier
1790184752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- R 154218-5
- Legal business name
- ALIYA CARE INC
- Practice address
- 12340 5TH St NE
Blaine, MN 55434-2644 - Phone
- (763) 228-4420
- NPI assigned
- Aug 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mustaf Ismail
- Title
- Administrator
- Phone
- (763) 228-4420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | R 154218-5 | MN | Primary |
Addresses
Primary practice location
12340 5TH St NE
Blaine, MN 55434-2644
Mailing address
12340 5TH St NE
Blaine, MN 55434
Phone (763) 228-4420
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408060800000",
"number": "1790184752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12340 5TH ST NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "55434",
"telephone_number": "763-228-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12340 5TH ST NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554342644",
"telephone_number": "763-228-4420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALIYA CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-15",
"last_updated": "2014-08-15",
"status": "A",
"authorized_official_last_name": "ISMAIL",
"authorized_official_first_name": "MUSTAF",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "763-228-4420",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "MN",
"license": "R 154218-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.