MICHAELA RESIDENTIAL CARE LLC
NPI 1194518373
Assisted Living Facility in Brooklyn Park, MN
About Michaela Residential Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAELA RESIDENTIAL CARE LLC (NPI 1194518373) is a healthcare organization registered as an assisted living facility in Brooklyn Park, Minnesota and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists Esther Gobah Fares, Administrator/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2327248
Michaela Residential Care LLC · Brooklyn Park, MNOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michaela Residential Care LLC's NPI number?
The NPI number for Michaela Residential Care LLC is 1194518373. It was assigned to this organization in the NPPES registry on May 28, 2025.
Where is Michaela Residential Care LLC located?
Michaela Residential Care LLC is located at 312 74th Ave N, Brooklyn Park, MN 55444. The listed phone number is (952) 688-1026.
What is Michaela Residential Care LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Michaela Residential Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2327248) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Michaela Residential Care LLC was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Michaela Residential Care Llc · NPI 1194518373
Assisted Living Facility organization in Brooklyn Park, Minnesota. Organization record, active in the CMS NPPES registry since May 28, 2025.
## Identity
- **NPI:** 1194518373 (Entity type: Organization)
- **Enumerated:** May 28, 2025
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Michaela Residential Care LLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Esther Fares, ADMINISTRATOR/OWNER
## Practice location
- **Address:** 312 74TH AVE N, Brooklyn Park, MN 55444-3000
- **Phone:** (952) 688-1026
## Record status
- **NPPES last updated:** May 28, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194518373) · Data from the CMS NPPES public registry.