Azalea Homes

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AZALEA HOMES

Practice address

11333 Welcome Ave N
Champlin, MN 55316-3445

Phone

(763) 321-4417

NPI assigned

Jan 23, 2023

Last updated

Aug 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Siamah Kanneh

Title

Co-Owner

Phone

(763) 273-0767

Specialties & licenses 2

Addresses

Other names 1

• Azalea Homes LLC Other name

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1801501093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 PENNSYLVANIA AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "55428",
            "telephone_number": "763-321-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 WELCOME AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163445",
            "telephone_number": "763-321-4417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5724 Pennsylvania Ave N",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554283328",
            "country_code": "US",
            "telephone_number": "763-321-4417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5857 Perry Ave N",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "55429",
            "country_code": "US",
            "telephone_number": "612-702-0756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AZALEA HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "KANNEH",
        "authorized_official_first_name": "SIAMAH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "763-273-0767"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wecare@azaleahomes.org",
            "affiliation": "N",
            "address_1": "5857 Perry Ave N",
            "city": "Crystal",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Azalea Homes LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Song Lor Anderson, LICSW
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• John W. Apostol, M.D.
• Joelle L Arlt
• Kara Ausen, LICSW
• Siraj M. Bachani, DMD
• Mariam Bafalie
• Carol Ann Bahnemann, DDS
• Bammert Family Chiropractic, LLC
• Charles Bammert, D.C.

• Assisted Living Facility in Champlin, MN
• Providers in Champlin, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.