NPIMap

Organization Active NPI

Fortunate Homes LLC

  • Home Health Agency
  • Maple Grove, MN
National Provider Identifier
1821809336
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FORTUNATE HOMES LLC
Practice address
7006 E Fish Lake Rd
Maple Grove, MN 55311-2832
Phone
(952) 994-5356
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Susan Nyang'Anyi Obwaya
Title
Ceo/Director
Phone
(952) 994-5356

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

7006 E Fish Lake Rd
Maple Grove, MN 55311-2832

Mailing address

7006 E Fish Lake Rd
Maple Grove, MN 55311-2832
Phone (952) 994-5356

Other names 1

  • Fortunate PCA Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fortunate Homes LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1821809336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7006 E FISH LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112832",
            "telephone_number": "952-994-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 E FISH LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112832",
            "telephone_number": "952-994-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNATE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "OBWAYA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "NYANG'ANYI",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "952-994-5356"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortunate PCA Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.