Organization Active NPI

Essetial Wellness LLC

  • Home Health Agency
  • Blaine, MN
National Provider Identifier
1982586822
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ESSETIAL WELLNESS LLC
Practice address
11339 Johnson St NE
Blaine, MN 55434-2835
Phone
(763) 328-7158
NPI assigned
Jul 22, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Abdinasar Ali
Title
Owner
Phone
(763) 328-7158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11339 Johnson St NE
Blaine, MN 55434-2835

Mailing address

11339 Johnson St NE
Blaine, MN 55434-2835
Phone (763) 328-7158

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1982586822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11339 JOHNSON ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342835",
            "telephone_number": "763-328-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11339 JOHNSON ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342835",
            "telephone_number": "763-328-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSETIAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABDINASAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-328-7158"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

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