GROWTH SUPPORT ASSISTED LIVING LLC (NPI# 1447875117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447875117 |
| Entity Type | Organization |
| Organization Name | GROWTH SUPPORT ASSISTED LIVING LLC |
| Practice Address |
1928 Portland Ave Apt S101 Minneapolis MN 55404-3469 |
| Practice Telephone | 6127020906 |
| Mailing Telephone | 6127020906 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | JIHAN A ABDULLE (OWNER) |
| Authorized Official Telephone | 6127020906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1928 PORTLAND AVE APT S101 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-3469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1275154262 | Ktj 292, LLC | Assisted Living Facility | 22 Malcolm Ave Se, Minneapolis, MN 55414-7584 | 2020-04-30 |
| 1548880479 | Hamdi Ali Mohamed | Assisted Living Facility | 1527 Morgan Ave N, Minneapolis, MN 55411-3013 | 2020-04-21 |
| 1801444344 | Hope Assited Living LLC | Assisted Living Facility | 1942 Washburn Ave N, Minneapolis, MN 55411-2327 | 2019-08-28 |
| 1598244980 | Wellbeing Homes LLC | Assisted Living Facility | 5525 81st Ave N, Minneapolis, MN 55443-2313 | 2018-08-07 |
| 1457837668 | Midwest Group Living Inc. | Assisted Living Facility | 3552 1st Ave S, Minneapolis, MN 55408-4509 | 2018-07-11 |
| 1366804890 | United Care Homes LLC | Assisted Living Facility | 3423 26th Ave S, Minneapolis, MN 55406-2505 | 2016-03-23 |
| 1588058911 | Eden Homes, Inc. | Assisted Living Facility | 3714 Bryant Ave N, Minneapolis, MN 55412-2157 | 2015-03-24 |
| 1407185481 | L & R Investments Inc | Assisted Living Facility | 3439 Central Ave Ne, Minneapolis, MN 55418-4579 | 2009-12-21 |
| 1154567436 | Crown Medical Home Health Agency Inc | Assisted Living Facility | 1925/1931 1st Avenue South, Minneapolis, MN 55403-3724 | 2008-12-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on GROWTH SUPPORT ASSISTED LIVING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.