Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHOENIX HEALTH LLC
NPI 1669212809
Assisted Living Facility in New Brighton, MN

Q: What is Phoenix Health LLC's NPI number?

The NPI number for Phoenix Health LLC is 1669212809. It was assigned to this organization in the NPPES registry on May 27, 2024.

Q: What is Phoenix Health LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since May 27, 2024

767 7TH ST NW, NEW BRIGHTON, MN 55112(612) 298-3561 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Phoenix Health Llc NPPES

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

PHOENIX HEALTH LLC (NPI 1669212809) is a healthcare organization registered as an assisted living facility in New Brighton, Minnesota and active in the NPI registry since May 2024. The organization lists Omar Mohamud, Manager, as its authorized official.

NPPES Registry Identity

NPI1669212809

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePHOENIX HEALTH LLC

Location Address767 7TH ST NWNew Brighton, MN 55112

Mailing Address767 7th St NwNew Brighton, MN 55112 · (612) 298-3561

Phone(612) 298-3561

Organization SubpartNo

Authorized OfficialOmar MohamudManager · (612) 298-3561

Enumeration DateMay 27, 2024

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1669212809 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.

767 7TH ST NW, New Brighton, MN 55112

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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 Phoenix Health LLC's NPI number?

The NPI number for Phoenix Health LLC is 1669212809. It was assigned to this organization in the NPPES registry on May 27, 2024.

Where is Phoenix Health LLC located?

Phoenix Health LLC is located at 767 7th St NW, New Brighton, MN 55112. The listed phone number is (612) 298-3561.

What is Phoenix Health 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 Phoenix Health LLC was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.