Alnas Lodge LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

ALNAS LODGE LLC

Practice address

2521 Edinbrook Ter
Brooklyn Park, MN 55443-3739

Phone

(763) 477-8151

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Alade Lateef Hamza, CEONPI 1144862996

Title

Managing Director

Phone

(763) 477-8151

Specialties & licenses 1

Addresses

Tax ID family

Alnas Lodge LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alnas Lodge LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Brooklyn Park, MN
  • NPI 1457132318
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alade Lateef Hamza, CNP

  • Primary Care Nurse Practitioner
  • Brooklyn Park, MN
  • NPI 1144862996
  NPD Authorized official

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1982353157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 EDINBROOK TER",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433739",
            "telephone_number": "763-477-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 EDINBROOK TER",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433739",
            "telephone_number": "763-477-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALNAS LODGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "HAMZA",
        "authorized_official_first_name": "ALADE",
        "authorized_official_middle_name": "LATEEF",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "763-477-8151",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Assisted Living Facility (Behavioral Disturbances) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.