1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Assisted Living Facility
  6. NPI Profile

WILLOW RESIDENCE LLC
NPI 1184493124
Assisted Living Facility in Minneapolis, MN

Active since January 01, 2024
3208 PARK AVE, MINNEAPOLIS, MN 55407(612) 913-2975 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willow Residence Llc NPPES

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

WILLOW RESIDENCE LLC (NPI 1184493124) is a healthcare organization registered as an assisted living facility in Minneapolis, Minnesota and active in the NPI registry since January 2024. The organization lists Faisa Yasin Hussein, Owner, as its authorized official.

NPPES Registry Identity

NPI1184493124
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWILLOW RESIDENCE LLC
Location Address3208 PARK AVEMinneapolis, MN 55407-2008
Mailing Address3208 Park AveMinneapolis, MN 55407-2008 · (612) 913-2975 · Fax (612) 444-8984
Phone(612) 913-2975
Organization SubpartNo
Authorized OfficialFaisa Yasin HusseinOwner · (612) 913-2975
Enumeration DateJanuary 1, 2024
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1184493124 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.
3208 PARK AVE, Minneapolis, MN 55407
Open in Google Maps ↗

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 Willow Residence LLC's NPI number?

The NPI number for Willow Residence LLC is 1184493124. It was assigned to this organization in the NPPES registry on January 1, 2024.

Where is Willow Residence LLC located?

Willow Residence LLC is located at 3208 Park Ave, Minneapolis, MN 55407. The listed phone number is (612) 913-2975.

What is Willow Residence 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 Willow Residence LLC was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.