Organization Active NPI

Legacy Housing Solutions LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1831905629
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LEGACY HOUSING SOLUTIONS LLC
Practice address
729 Washington Ave N
Minneapolis, MN 55401-2942
Phone
(612) 642-1919
NPI assigned
Dec 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Mr. Mohamud Ali
Title
President
Phone
(612) 642-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

729 Washington Ave N
Minneapolis, MN 55401-2942

Mailing address

3541 3Rd Ave S Unit 1
Minneapolis, MN 55408-4525
Phone (612) 642-1919

National Provider Directory

National Provider Directory

Locations

729 Washington Ave N
Minneapolis, MN 55401
Phone (612) 642-1919

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1831905629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 3RD AVE S UNIT 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084525",
            "telephone_number": "612-642-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 WASHINGTON AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012942",
            "telephone_number": "612-642-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOUSING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOHAMUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-642-1919",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Dec 5, 2024; 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.