Active NPI
Amazing Love Assisted Living LLC
- Home Health Agency
- Crystal, MN
National Provider Identifier
1881925345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 345634
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Home Health Agency
- Crystal, MN
- NPI 1265527832
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.