Chez Michael Care LLC
Assisted Living Facility in Crystal, MN. Organization (NPI-2).
NPI number1992450324
StatusActive
Last updated in NPPESMar 22, 2022
Details
- NPI
- 1992450324
- Entity type
- Organization (NPI-2)
- Legal business name
- Chez Michael Care LLC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2022
- Certification date
- Mar 22, 2022
- Last updated
- Mar 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
| 3104A0630X | Assisted Living Facility, Assisted Living, Behavioral Disturbances | – | – | |
| 251E00000X | Home Health | – | – | |
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – |
Other names
- Chez Michael Care LLC (Former Legal Business Name)
- Olubunmi Simpeh (Former Legal Business Name)
Practice location
5748 Regent Ave NCrystal, MN 55429-2815
Phone 269-873-0690
Mailing address
3300 County Road 10 Ste 300bBrooklyn Center, MN 55429-3066
Phone 269-873-0690 · Fax 800-966-2364
Authorized official
Olubunmi Simpeh
Owner
6128883515
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