ABRAHAMS BOSOM CARE LLC NPI 1821725672

NPI Information

  • NPI: 1821725672
  • Provider Name: ABRAHAMS BOSOM CARE LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 24D2296710
  • Address: 437 TOWER ST
    SAINT PAUL, MN
    ZIP 55119
  • Phone: (651) 428-9170

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NPI Details

ABRAHAMS BOSOM CARE LLC is an assisted living facility in Saint Paul, 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. ABRAHAMS BOSOM CARE LLC NPI is 1821725672. The provider is registered as an organization entity type.

The provider's business location address is:

437 TOWER ST
SAINT PAUL, MN
ZIP 55119-052
Phone: (651) 428-9170
Fax: (651) 447-2098

The provider's authorized official is Abraham Wolfe .
The authorized official title is Owner and has the following contact phone number (651) 428-9170.

The CLIA number assigned to this NPI record is 24D2296710 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2022 and was last updated on 8/30/2022.

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
1310400000XAssisted Living FacilityYes

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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