Organization Active NPI

Luxe Home Residential Services LLC

  • Assisted Living Facility
  • Minneapolis, MN
National Provider Identifier
1891512901
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LUXE HOME RESIDENTIAL SERVICES LLC
Practice address
1144 36 1/2 Ave NE
Minneapolis, MN 55418-1303
Phone
(612) 404-6590
NPI assigned
Sep 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Authorized official

Name
Saleban M Omar
Title
Mananger
Phone
(612) 404-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1144 36 1/2 Ave NE
Minneapolis, MN 55418-1303

Mailing address

1144 36 1/2 Ave NE
Minneapolis, MN 55418-1303
Phone (612) 404-6590

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726876800000",
    "number": "1891512901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 36 1/2 AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181303",
            "telephone_number": "612-404-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 36 1/2 AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181303",
            "telephone_number": "612-404-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE HOME RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "SALEBAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANANGER",
        "authorized_official_telephone_number": "612-404-6590"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "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 Sep 21, 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.