LIFE ALLIANCE LLC NPI 1124542360

NPI Information

  • NPI: 1124542360
  • Provider Name: LIFE ALLIANCE, LLC
  • Classification: Early Intervention Provider Agency - 252Y00000X
  • Entity Type: Organization
  • Doing Business As: LIFE ALLIANCE, LLC
  • Address: 8609 LYNDALE AVE S, SUITE 213C
    BLOOMIGTON, MN
    ZIP 55420
  • Phone: (952) 777-4625

Map and Directions

Get Directions

NPI Details

LIFE ALLIANCE, LLC is an early intervention provider agency in Bloomigton, MN. The provider is early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. LIFE ALLIANCE, LLC NPI is 1124542360. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Life Alliance, Llc.

The provider's business location address is:

8609 LYNDALE AVE S, SUITE 213C
BLOOMIGTON, MN
ZIP 55420-542
Phone: (952) 777-4625
Fax: (952) 777-4627

The provider's authorized official is Abdisallam A Abdulle .
The authorized official title is Ceo and has the following contact phone number (952) 777-4625.

The enumeration date for this NPI number is 7/31/2017 and was last updated on 7/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3252Y00000XEarly Intervention Provider Agency1087364-1-HCBSMINNESOTANo
4252Y00000XEarly Intervention Provider AgencyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.