Active NPI
Luxe Home Residential Services LLC
- Assisted Living Facility
- Minneapolis, MN
National Provider Identifier
1891512901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.