HEARTHSIDE CARE LLC
NPI 1629862560
Clinic/Center - Health Service in Minnetonka, MN

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

Active since April 07, 2025

12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343(962) 222-2222 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Hearthside Care Llc NPPES

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

HEARTHSIDE CARE LLC (NPI 1629862560) is a healthcare organization registered as a health service in Minnetonka, Minnesota and active in the NPI registry since April 2025. The organization lists Ayub Mohamed, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629862560

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameHEARTHSIDE CARE LLC

Location Address12800 WHITEWATER DR STE 100Minnetonka, MN 55343-9347

Mailing Address12800 Whitewater Dr Ste 100Minnetonka, MN 55343-9347

Phone(962) 222-2222

Organization SubpartNo

Authorized OfficialAyub MohamedCeo · (952) 222-2222

Enumeration DateApril 7, 2025

NPPES CertifiedMarch 24, 2025

✔ NPI 1629862560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

12800 WHITEWATER DR STE 100, Minnetonka, MN 55343

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Other Providers at the Same Location NPPES 11

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

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