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NORTHEASTERN HOME GROUP LLC
NPI 1871344523
Assisted Living Facility - Assisted Living, Mental Illness in Minnetonka, MN

Active since April 01, 2024
10255 GREENBRIER RD APT 122, MINNETONKA, MN 55305(952) 209-4046 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Apr 1, 2024 (2 updates tracked since 2024).

About Northeastern Home Group Llc NPPES

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

NORTHEASTERN HOME GROUP LLC (NPI 1871344523) is a healthcare organization registered as an assisted living, mental illness in Minnetonka, Minnesota and active in the NPI registry since April 2024. The organization lists Fadumo Omar Jama, Director, as its authorized official.

NPPES Registry Identity

NPI1871344523
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameNORTHEASTERN HOME GROUP LLC
Location Address10255 GREENBRIER RD APT 122Minnetonka, MN 55305-3425
Mailing Address716 County Road 10 Ne Apt 234Blaine, MN 55434-2331 · (612) 203-2394
Phone(952) 209-4046
Organization SubpartNo
Authorized OfficialFadumo Omar JamaDirector · (612) 203-2394
Enumeration DateApril 1, 2024
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1871344523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
10255 GREENBRIER RD APT 122, Minnetonka, MN 55305
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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 Northeastern Home Group LLC's NPI number?

The NPI number for Northeastern Home Group LLC is 1871344523. It was assigned to this organization in the NPPES registry on April 1, 2024.

Where is Northeastern Home Group LLC located?

Northeastern Home Group LLC is located at 10255 Greenbrier Rd Apt 122, Minnetonka, MN 55305. The listed phone number is (952) 209-4046.

What is Northeastern Home Group LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Northeastern Home Group LLC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.