Organization Active NPI

Amazing Love Assisted Living LLC

  • Home Health Agency
  • Crystal, MN
National Provider Identifier
1881925345
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
345634 Issued in MN
Legal business name
AMAZING LOVE ASSISTED LIVING LLC
Practice address
5724 Bass Lake Rd
Crystal, MN 55429-2747
Phone
(763) 561-3434
Fax
(763) 561-3636
NPI assigned
Jan 22, 2010
Organization subpart
Yes
Parent organization
AMAZING LOVE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Mr. Yemmy T Osonowo
Title
Administrator
Phone
(763) 923-9413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 345634 MN Primary

Addresses

Primary practice location

5724 Bass Lake Rd
Crystal, MN 55429-2747

Mailing address

5724 Bass Lake Rd
Crystal, MN 55429-2747
Phone (763) 561-3434

National Provider Directory

National Provider Directory
Part of
Amazing Love LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1881925345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 BASS LAKE RD",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292747",
            "telephone_number": "763-561-3434",
            "fax_number": "763-561-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 BASS LAKE RD",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292747",
            "telephone_number": "763-561-3434",
            "fax_number": "763-561-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING LOVE ASSISTED LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMAZING LOVE LLC",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "OSONOWO",
        "authorized_official_first_name": "YEMMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-923-9413",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "345634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.