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HIGH DRIVE CUSTOMIZED/ASSISTED LIVING LLC
NPI 1013605518
Assisted Living Facility in Burnsville, MN

Active since April 24, 2023
13813 HIGH DR, BURNSVILLE, MN 55337(763) 228-1804 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About High Drive Customized/assisted Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIGH DRIVE CUSTOMIZED/ASSISTED LIVING LLC (NPI 1013605518) is a healthcare organization registered as an assisted living facility in Burnsville, Minnesota and active in the NPI registry since April 2023. The organization lists Anbassa Hawiya Bukula, Program Manager (owner), as its authorized official.

NPPES Registry Identity

NPI1013605518
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHIGH DRIVE CUSTOMIZED/ASSISTED LIVING LLC
Location Address13813 HIGH DRBurnsville, MN 55337-4740
Mailing Address13813 High DrBurnsville, MN 55337-4740 · (763) 228-1804
Phone(763) 228-1804
Organization SubpartNo
Authorized OfficialAnbassa Hawiya BukulaProgram Manager (owner) · (763) 228-1804
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1013605518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
13813 HIGH DR, Burnsville, MN 55337
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is High Drive Customized/Assisted Living LLC's NPI number?

The NPI number for High Drive Customized/Assisted Living LLC is 1013605518. It was assigned to this organization in the NPPES registry on April 24, 2023.

Where is High Drive Customized/Assisted Living LLC located?

High Drive Customized/Assisted Living LLC is located at 13813 High Dr, Burnsville, MN 55337. The listed phone number is (763) 228-1804.

What is High Drive Customized/Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for High Drive Customized/Assisted Living LLC was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.