Organization · Type 2 NPI

Family Alliance Healthcare LLC

Home Health Agency · St. Louis Park, MN

NPI number 1205699113 Active

Practice location

5821 Cedar Lake Rd S Unit H-106
St. Louis Park, MN 55416-1487

Fax (763) 269-7481

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed
Nursing Care Agency	251J00000X	None listed
Adult Day Care Clinic/Center	261QA0600X	None listed
Custodial Care Facility	311Z00000X	None listed
Respite Care	385H00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1205699113
Entity type: Organization (Type 2)
Issued: Feb 2, 2024
Last updated: Sep 3, 2024
Status: Active

Other names

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Family Alliance Healthcare LLC · doing business as
Family Alliance Healthcare LLC · doing business as

Authorized official

Mr. Goodie Oshiapi Iluebbey, REGISTERED NURSE
RN
(763) 221-4774

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205699113

Family Alliance Healthcare LLC's National Provider Identifier is 1205699113, issued on Feb 2, 2024. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Sep 3, 2024.