NPIMap

Organization Active NPI

Care4Life LLC

  • Home Health Registered Nurse
  • Burnsville, MN
National Provider Identifier
1982248324
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
CARE4LIFE LLC
Practice address
1540 Circle Dr
Burnsville, MN 55337-2312
Phone
(952) 215-5251
Fax
(952) 479-9128
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Nasra Yusuf Ahmed
Title
RN/Owner
Phone
(952) 215-5251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

1540 Circle Dr
Burnsville, MN 55337-2312

Mailing address

1540 Circle Dr
Burnsville, MN 55337-2312
Phone (952) 215-5251

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1982248324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 CIRCLE DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372312",
            "telephone_number": "952-215-5251",
            "fax_number": "952-479-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 CIRCLE DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372312",
            "telephone_number": "952-215-5251",
            "fax_number": "952-479-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE4LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NASRA",
        "authorized_official_middle_name": "YUSUF",
        "authorized_official_title_or_position": "RN/OWNER",
        "authorized_official_telephone_number": "952-215-5251"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.