Organization · NPI-2

Access Group Home LLC

Assisted Living Facility · Minneapolis, MN

NPI number1154980233
StatusActive
Last updated in NPPESJun 15, 2019

Details

NPI
1154980233
Entity type
Organization (NPI-2)
Legal business name
Access Group Home LLC
Organization subpart
No
Enumeration date
Jun 11, 2019
Last updated
Jun 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes
251E00000X Home Health––
251J00000X Nursing Care––
332B00000X Durable Medical Equipment & Medical Supplies––
332U00000X Home Delivered Meals––

Practice location

1122 Upton Ave N
Minneapolis, MN 55411

Phone 612-735-5294

Mailing address

1122 Upton Ave N
Minneapolis, MN 55411

Phone 612-735-5294

Other practice locations

1421 Park Ave S Suite 202 Unit A
Minneapolis, MN 55404

Phone 612-735-5294

Authorized official

Amino Sheikh Abdi
Owner/Manager
6127355294

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