RAKHMA INC. NPI 1194854026

NPI Information

NPI: 1194854026
Provider Name: RAKHMA, INC.
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
CLIA Number: 24D1029899
Address: 4953 ALDRICH AVE S
MINNEAPOLIS, MN
ZIP 55419
Phone: (612) 824-2345

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NPI Details

RAKHMA, INC. is an assisted living facility in Minneapolis, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RAKHMA, INC. NPI is 1194854026. The provider is registered as an organization entity type.

The provider's business location address is:

4953 ALDRICH AVE S
MINNEAPOLIS, MN
ZIP 55419-352
Phone: (612) 824-2345
Fax: (612) 824-3165

The provider's authorized official is Janelle M Johnson .
The authorized official title is Executive Director and has the following contact phone number (612) 824-2345.

The CLIA number assigned to this NPI record is 24D1029899 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 8/22/2020.

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
1	310400000X	Assisted Living Facility		333403	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AL0017	OTHER	MINNESOTA	UCARE JOY HOME ID NUMBER
2	4990022	OTHER	MINNESOTA	ASSITED LIVING PLUS BILLI
3	AL0018	OTHER	MINNESOTA	UCARE PEACE HOME ID NUMBE
4	AL0030	OTHER	MINNESOTA	UCARE GRACE HOUSE ID NUM.
5	14602	OTHER	MINNESOTA	HEALTH PARTNERS AL PLUS

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

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