Provider Demographics
NPI:1770471252
Name:CARING GROUP HOME CO
Entity type:Organization
Organization Name:CARING GROUP HOME CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRASHID
Authorized Official - Middle Name:ADEN
Authorized Official - Last Name:DEK
Authorized Official - Suffix:
Authorized Official - Credentials:PUBLIC HEALTH ADMIN
Authorized Official - Phone:651-348-9829
Mailing Address - Street 1:200 E 90TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-3732
Mailing Address - Country:US
Mailing Address - Phone:651-348-9829
Mailing Address - Fax:612-345-7714
Practice Address - Street 1:200 E 90TH ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-3732
Practice Address - Country:US
Practice Address - Phone:651-348-9829
Practice Address - Fax:612-345-7714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility