REDESIGN LIFESTYLE CARE LLC (NPI# 1922628874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922628874 |
| Entity Type | Organization |
| Organization Name | REDESIGN LIFESTYLE CARE LLC |
| Practice Address |
1527 Morgan Ave N Minneapolis MN 55411-3013 |
| Mailing Address |
4725 Minnetonka Blvd Apt 301 Saint Louis Park MN 55416-2240 |
| Practice Telephone | 6129632576 |
| Practice Fax Number | 6122388055 |
| Mailing Telephone | 6129632576 |
| Mailing Fax Number | 6122388055 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | HAMDI ALI MOHAMED (OWNER) |
| Authorized Official Telephone | 6129632576 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | TEMPORARY COMPREHENSIVE HOME CARE LICENSE NUMBER | 394113 | 01 |
| MN | HFID # | 35034 | 01 |
| MN | HFID # | 36065 | 01 |
| MN | HOUSING WITH SERVICES | 395890 | 01 |
| Street Address |
1527 MORGAN AVE N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55411-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548880479 | Hamdi Ali Mohamed | Assisted Living Facility | 1527 Morgan Ave N, Minneapolis, MN 55411-3013 | 2020-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101483 | Minnesota Mental Health Solutions | Social Worker | 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 | 2019-09-03 |
| 1154980233 | Access Group Home LLC | Home Health | 1122 Upton Ave N, Minneapolis, MN 55411 | 2019-06-11 |
| 1780036202 | Marcia Karen Powless | Registered Nurse | 2339 River Pointe Lane, Minneapolis, MN 55411 | 2016-07-08 |
| 1104287663 | Abdikarim Abdille | Contractor | 521 Lyn Park Cir N, Minneapolis, MN 55411 | 2016-03-11 |
| 1962801399 | Olu's Center | Clinic/Center | 1315 12th Ave N, Minneapolis, MN 55411 | 2014-08-21 |
| 1689086639 | Claudia Alejandra Patino Gonzalez | Student in an Organized Health Care Education/Training Program | 1020 West Broadway Avenue, Minneapolis, MN 55411 | 2014-05-27 |
| 1306283445 | Advanced Home Care | Home Health | 3000 Logan Ave N, Minneapolis, MN 55411 | 2013-05-30 |
| 1154766525 | Bassim Samadani Birkland | Student in an Organized Health Care Education/Training Program | Broadway Clinic, 1020 West Broadway, Minneapolis, MN 55411 | 2013-04-30 |
| 1720354004 | New Salem Metormorphosis Youth Program | Counselor | 2509 Bryant Ave North, Minneapolis, MN 55411 | 2012-03-30 |
| 1629387469 | Apose | Home Health | 2806 Girard Ave. North, Minneapolis, MN 55411 | 2010-09-28 |
| Find all providers in zip 55411 | ||||
| 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 | 55411 |
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| 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.