Organization Active NPI

Lifeline Homehealth Center LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1790653822
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFELINE HOMEHEALTH CENTER LLC
Practice address
322 W Lake St Ste 223
Minneapolis, MN 55408-5202
Phone
(763) 388-8080
NPI assigned
Oct 29, 2025
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Abdirahman Suleiman Maalim
Title
Owner
Phone
(763) 388-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

322 W Lake St Ste 223
Minneapolis, MN 55408-5202

Mailing address

322 W Lake St Ste 223
Minneapolis, MN 55408-5202
Phone (763) 388-8080

National Provider Directory

National Provider Directory

Locations

322 W Lake St
Ste 223
Minneapolis, MN 55408
Phone (763) 388-8080

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1790653822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W LAKE ST STE 223",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085202",
            "telephone_number": "763-388-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W LAKE ST STE 223",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085202",
            "telephone_number": "763-388-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOMEHEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "MAALIM",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_middle_name": "SULEIMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-388-8080"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Apr 17, 2026; 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.