N/A
NPI 1033632740
Home Health in Roseville, MN

Q: What is Central Lakes Health Care Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since July 25, 2017

2355 HIGHWAY 36 W, ROSEVILLE, MN 55113(763) 377-2418 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Nov 1, 2017 and 1 more (4 updates tracked since 2017).

On this page

About N/a NPPES

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

N/A (NPI 1033632740) is a healthcare organization registered as a home health in Roseville, Minnesota and active in the NPI registry since July 2017. The organization maintains 2 additional practice locations and lists Shafi Abdulle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033632740

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameCENTRAL LAKES HEALTH CARE SERVICES LLC

Location Address2355 HIGHWAY 36 WRoseville, MN 55113-3902

Mailing Address2355 Mn-36, 410Roseville, MN 55113 · (763) 377-2418

Phone(763) 377-2418

Organization SubpartNo

Authorized OfficialShafi AbdulleCeo · (612) 598-0652

Enumeration DateJuly 25, 2017

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedMarch 1, 2020

✔ NPI 1033632740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in MN · 382287

Definition

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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

2355 HIGHWAY 36 W, Roseville, MN 55113

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Secondary Practice Locations 2

Location 12355 Highway 36 WRoseville, MN 55113-3902 · Phone (763) 377-2418

Location 29455 jarrod Ave Scottage Grove, MN 55016 · Phone (763) 377-2418

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KECIA K FARLEY FNP-C

Nurse Practitioner (Family)

2355 HIGHWAY 36 W
ROSEVILLE, MN 55113

Ramsey County (810) 471-8522

ABDIRAHMAN MOHAMED MUSE

Behavior Technician

2355 HIGHWAY 36 W
ROSEVILLE, MN 55113

Ramsey County (612) 644-4942

JORGE A LEON MD

Radiology (Vascular & Interventional Radiology)

2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 292-2000

JOHN P KNOEDLER JR. MD

Radiology (Diagnostic Radiology)

2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 292-2000

ROBERT JOHN HOSKER M.D.

Radiology (Diagnostic Radiology)

2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 292-2000

MUNA HASSAN MOHAMMED

Behavior Technician

2355 HIGHWAY 36 W
ROSEVILLE, MN 55113

Ramsey County (763) 358-5353

KRISTIN A LIEBERMAN MD

Radiology (Diagnostic Radiology)

2355 HIGHWAY 36 W, STE 100
ROSEVILLE, MN 55113

Ramsey County (651) 292-2000

HALIMA MOHAMED HARET

Behavior Technician

2355 HIGHWAY 36 W
ROSEVILLE, MN 55113

Ramsey County (612) 644-4942

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 Central Lakes Health Care Services LLC's NPI number?

The NPI number for Central Lakes Health Care Services LLC is 1033632740. It was assigned to this organization in the NPPES registry on July 25, 2017.

Where is Central Lakes Health Care Services LLC located?

Central Lakes Health Care Services LLC is located at 2355 Highway 36 W, Roseville, MN 55113. The listed phone number is (763) 377-2418.

What is Central Lakes Health Care Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Central Lakes Health Care Services LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.