Life Care Health Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LIFE CARE HEALTH SERVICES LLC

Practice address

2445 Park Ave # 300
Minneapolis, MN 55404-3714

Phone

(612) 458-1962

Fax

(612) 605-1939

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Rachid Mohamad, PRESIDENT

Title

Ceo

Phone

(612) 458-1962

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• life care health service Doing business as

Locations

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1962000646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 PARK AVE # 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043714",
            "telephone_number": "612-458-1962",
            "fax_number": "612-605-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 PARK AVE # 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043714",
            "telephone_number": "612-458-1962",
            "fax_number": "612-605-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMAD",
        "authorized_official_first_name": "RACHID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-458-1962",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962000646",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "life care health service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Lien, DT, RDH
• Stephanie Rae Lien, LICSW
• Tara Lien
• Brian Lieser
• Elizabeth Anne Lieske, MD
• Life Care Health Services LLC
• Life Course Therapy
• Life Matters PLC
• Life Refine Company, Inc.
• Life Services Group, LLC

• Adult Mental Health Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.