Organization Active NPI

Pleasant Assisted Living LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1912716168
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PLEASANT ASSISTED LIVING LLC
Practice address
3220 County Road 10 Ste 128
Minneapolis, MN 55429-3083
Phone
(612) 232-0604
NPI assigned
Jan 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Ballah Z Dwapu, LALD
Title
Owner/Director
Phone
(612) 232-0604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3220 County Road 10 Ste 128
Minneapolis, MN 55429-3083

Mailing address

3220 County Road 10 Ste 128
Minneapolis, MN 55429-3083
Phone (612) 232-0604

National Provider Directory

National Provider Directory

Locations

3220 County Road 10
Ste 128
Minneapolis, MN 55429
Phone (612) 232-0604

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1912716168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 COUNTY ROAD 10 STE 128",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554293083",
            "telephone_number": "612-232-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 COUNTY ROAD 10 STE 128",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554293083",
            "telephone_number": "612-232-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "DWAPU",
        "authorized_official_first_name": "BALLAH",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "612-232-0604",
        "authorized_official_credential": "LALD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Jan 2, 2025; 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.