AT HOME ASSISTED LIVING LLC
NPI 1699628115
Assisted Living Facility in Fridley, MN

Active since February 16, 2026
1335 52ND AVE NE, FRIDLEY, MN 55421(614) 822-5961 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About At Home Assisted Living Llc NPPES

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

AT HOME ASSISTED LIVING LLC (NPI 1699628115) is a healthcare organization registered as an assisted living facility in Fridley, Minnesota and active in the NPI registry since February 2026. The organization lists Mohamed Hersi, Owner, as its authorized official.

NPPES Registry Identity

NPI1699628115
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAT HOME ASSISTED LIVING LLC
Location Address1335 52ND AVE NEFridley, MN 55421-1820
Mailing Address1335 52nd Ave NeFridley, MN 55421-1820 · (614) 822-5961
Organization SubpartNo
Authorized OfficialMohamed HersiOwner · (614) 822-5951
Enumeration DateFebruary 16, 2026
NPPES CertifiedFebruary 15, 2026
NPI 1699628115 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.
1335 52ND AVE NE, Fridley, MN 55421

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 At Home Assisted Living LLC's NPI number?

The NPI number for At Home Assisted Living LLC is 1699628115. It was assigned to this organization in the NPPES registry on February 16, 2026.

Where is At Home Assisted Living LLC located?

At Home Assisted Living LLC is located at 1335 52nd Ave NE, Fridley, MN 55421. The listed phone number is (614) 822-5961.

What is At Home Assisted Living 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 At Home Assisted Living LLC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.