Organization Active NPI

Twin Cities Group Homes LLC

  • Assisted Living Facility
  • Minneapolis, MN
National Provider Identifier
1942807672
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TWIN CITIES GROUP HOMES LLC
Practice address
711 22ND Ave NE
Minneapolis, MN 55418-3601
Phone
(612) 702-0331
Fax
(612) 354-7383
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Roble Ahmed
Title
Ceo
Phone
(612) 702-0331

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

711 22ND Ave NE
Minneapolis, MN 55418-3601

Mailing address

711 22ND Ave NE
Minneapolis, MN 55418-3601
Phone (612) 702-0331

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2216291Twin Cities Care Group Homes711 22ND Ave NE, Minneapolis, MN 55418Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1942807672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 22ND AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183601",
            "telephone_number": "612-702-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 22ND AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183601",
            "telephone_number": "612-702-0331",
            "fax_number": "612-354-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES GROUP HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ROBLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-702-0331"
    },
    "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": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Oct 6, 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.