Individual provider · Type 1 NPI
Belaynesh Woldemariam
Adult Care Home Facility · Little Canada, MN
NPI number
1679488928
Active
Practice location
3092 Maple Leaf Ct
Little Canada, MN 55109-5299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 1065470 (MN) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
About NPI 1679488928
Belaynesh Woldemariam's National Provider Identifier is 1679488928, issued on Aug 18, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Little Canada, MN. The record was last updated on Aug 18, 2026.