Nasiye Group Home Corp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NASIYE GROUP HOME CORP

Practice address

3913 4TH Ave S
Minneapolis, MN 55409-1614

Phone

(612) 205-9142

NPI assigned

Nov 28, 2019

Last updated

Nov 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariyan Ali Jama

Title

Owner

Phone

(612) 205-9142

Specialties & licenses 5

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1574899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574899200000",
    "number": "1902443765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 4TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091614",
            "telephone_number": "612-205-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 4TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091614",
            "telephone_number": "612-205-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASIYE GROUP HOME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-28",
        "last_updated": "2019-11-28",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "MARIYAN",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-205-9142"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey A Nash
• Julie Ann Nash
• Katherine Millicent Nash, PA-C
• Sereen Khaled Nashif, MD
• Melissa Ann Nasim, RN
• Rawad Tanios Nasr, MD
• Ahmed Nasser
• Larisa K Nasser, CRNA
• Bishara Abdulrahman Nassir, M.D
• Nat Language Services LLC

• Assisted Living Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.