Zubeer Group Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ZUBEER GROUP HOME LLC

Practice address

1567 County Road I
Shoreview, MN 55126-5512

Phone

(619) 763-0751

NPI assigned

Nov 23, 2019

Organization subpart

No

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

Authorized official

Name

Hamda Saleban Farah

Title

Owner

Phone

(619) 763-0751

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": "1574467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1952947038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 COUNTY ROAD I",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "55126",
            "telephone_number": "619-763-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 COUNTY ROAD I",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265512",
            "telephone_number": "619-763-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUBEER GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-23",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "HAMDA",
        "authorized_official_middle_name": "SALEBAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-763-0751"
    },
    "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": []
}

• Celeste Rose Yanisch, PSY.D.
• Douglas Yost, D.C.
• Miriam Zachary, MA, LMFT
• Diane Marie Zimmerman, DDS
• Olivia Zoner, OT, D

• Assisted Living Facility in Shoreview, MN
• Providers in Shoreview, 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 Feb 13, 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.