Redesign Lifestyle Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

REDESIGN LIFESTYLE CARE LLC

Practice address

1527 Morgan Ave N
Minneapolis, MN 55411-3013

Phone

(612) 963-2576

Fax

(612) 238-8055

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Hamdi Ali MohamedNPI 1548880479

Title

Owner

Phone

(612) 963-2576

Specialties & licenses 3

Addresses

Other identifiers 4

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hamdi Ali Mohamed

  • Assisted Living Facility (Mental Illness)
  • Minneapolis, MN
  • NPI 1548880479
  NPD Authorized official

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1922628874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MINNETONKA BLVD APT 301",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162240",
            "telephone_number": "612-963-2576",
            "fax_number": "612-238-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 MORGAN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113013",
            "telephone_number": "612-963-2576",
            "fax_number": "612-238-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDESIGN LIFESTYLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "HAMDI",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-963-2576"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY COMPREHENSIVE HOME CARE LICENSE NUMBER",
            "identifier": "394113",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFID #",
            "identifier": "35034",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFID #",
            "identifier": "36065",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOUSING WITH SERVICES",
            "identifier": "395890",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Julian Reddyhough, MD
• Redeemer Residence, Inc.
• Maximilian Y Redemann, MD
• Erin Redepenning, PA-C
• Jeanine M Reder, MS CCC SLP
• Jane Redfield, LICSW LP
• Elise Irene Rediger, LPCC
• Isabelle Victoria Rose Reding, MHP, RBT
• Mark T Reding, MD
• Jane M Redlinger

• 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 Apr 21, 2020; 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.