DREAMLIFE DESTINY LLC
NPI 1154027860
Home Health in Maple Grove, MN

Active since February 03, 2023
9488 KINGSVIEW LN N, MAPLE GROVE, MN 55369(612) 730-3436 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dreamlife Destiny Llc NPPES

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

DREAMLIFE DESTINY LLC (NPI 1154027860) is a healthcare organization registered as a home health in Maple Grove, Minnesota and active in the NPI registry since February 2023. The organization lists Russell Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1154027860
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameDREAMLIFE DESTINY LLC
Location Address9488 KINGSVIEW LN NMaple Grove, MN 55369-8571
Mailing Address9488 Kingsview Ln NMaple Grove, MN 55369-8571 · (612) 730-3436
Organization SubpartNo
Authorized OfficialRussell PetersonOwner · (763) 226-3063
Enumeration DateFebruary 3, 2023
NPPES CertifiedFebruary 3, 2023
NPI 1154027860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
9488 KINGSVIEW LN N, Maple Grove, MN 55369

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 Dreamlife Destiny LLC's NPI number?

The NPI number for Dreamlife Destiny LLC is 1154027860. It was assigned to this organization in the NPPES registry on February 3, 2023.

Where is Dreamlife Destiny LLC located?

Dreamlife Destiny LLC is located at 9488 Kingsview Ln N, Maple Grove, MN 55369. The listed phone number is (612) 730-3436.

What is Dreamlife Destiny 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 Dreamlife Destiny LLC was last updated on February 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.