Shaxle Assisted Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SHAXLE ASSISTED LIVING INC

Practice address

6237 Lee Ave N
Brooklyn Center, MN 55429-2477

Phone

(612) 483-7658

NPI assigned

Aug 28, 2025

Organization subpart

No

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

Authorized official

Name

Abdulkadir Jama

Title

Owner

Phone

(612) 483-7658

Specialties & licenses 1

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": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1902785405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 LEE AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292477",
            "telephone_number": "612-483-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 LEE AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292477",
            "telephone_number": "612-483-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAXLE ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "ABDULKADIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-483-7658"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Brooklyn Center, MN
• Providers in Brooklyn Center, 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 Aug 28, 2025; 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.