Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SELOME FIRISSA DEREJE
NPI 1811807852
Custodial Care Facility - Adult Care Home in Rosemount, MN

Q: What is Selome Dereje's NPI number?

The NPI number for Selome Dereje is 1811807852. It was assigned to this individual provider in the NPPES registry on September 10, 2026.

Q: What is Selome Dereje's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Selome Dereje was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 10, 2026

7071 UPPER 164TH ST W, ROSEMOUNT, MN 55068(651) 329-2807 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Selome Firissa Dereje NPPES

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

SELOME FIRISSA DEREJE (NPI 1811807852) is an individual adult care home provider in Rosemount, Minnesota, licensed in Minnesota (1122635) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1811807852

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameSELOME FIRISSA DEREJE

Location Address7071 UPPER 164TH ST WRosemount, MN 55068-5255

Mailing Address7071 Upper 164th St WRosemount, MN 55068-5255 · (651) 329-2807

Phone(651) 329-2807

Sole ProprietorYes

Enumeration DateSeptember 10, 2026

NPPES CertifiedSeptember 10, 2026

✔ NPI 1811807852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in MN · 1122635

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

7071 UPPER 164TH ST W, Rosemount, MN 55068

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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 Selome Dereje's NPI number?

The NPI number for Selome Dereje is 1811807852. It was assigned to this individual provider in the NPPES registry on September 10, 2026.

Where is Selome Dereje located?

Selome Dereje practices at 7071 Upper 164th St W, Rosemount, MN 55068. The listed phone number is (651) 329-2807.

What is Selome Dereje's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Selome Dereje was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.