Organization · Type 2 NPI

Chez Michael Care LLC

Assisted Living Facility · Crystal, MN

NPI number 1992450324 Active

Practice location

5748 Regent Ave N
Crystal, MN 55429-2815

Call (269) 873-0690 Map

Mailing address

3300 County Road 10 Ste 300B
Brooklyn Center, MN 55429-3066

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
Assisted Living Facility Primary	310400000X	None listed
Assisted Living Facility (Mental Illness)	3104A0625X	None listed
Assisted Living Facility (Behavioral Disturbances)	3104A0630X	None listed

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.

Other assisted living facility providers in Crystal

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NPI record

NPI: 1992450324
Entity type: Organization (Type 2)
Issued: Feb 15, 2022
Last updated: Mar 22, 2022
Status: Active

Other names

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Chez Michael Care LLC · former legal business name
Olubunmi Simpeh · former legal business name

Authorized official

Olubunmi Simpeh
Owner
(612) 888-3515

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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 1992450324

Chez Michael Care LLC's National Provider Identifier is 1992450324, issued on Feb 15, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Crystal, MN. The record was last updated on Mar 22, 2022.