Provider Demographics
NPI:1861367690
Name:CARING HEART ASSITED LIVING LLC
Entity type:Organization
Organization Name:CARING HEART ASSITED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:SERAY
Authorized Official - Middle Name:MBALU
Authorized Official - Last Name:LANSANA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:952-999-0771
Mailing Address - Street 1:13223 YUKON ST NW
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55448-1233
Mailing Address - Country:US
Mailing Address - Phone:952-999-0771
Mailing Address - Fax:
Practice Address - Street 1:13223 YUKON ST NW
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55448-1233
Practice Address - Country:US
Practice Address - Phone:952-999-0771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty