CHEZ MICHAEL CARE LLC NPI 1992450324

NPI Information

  • NPI: 1992450324
  • Provider Name: CHEZ MICHAEL CARE LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Former Legal Business Name: OLUBUNMI SIMPEH
  • CLIA Number: 24D2265248
  • Address: 5748 REGENT AVE N
    CRYSTAL, MN
    ZIP 55429
  • Phone: (269) 873-0690

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NPI Details

CHEZ MICHAEL CARE LLC is an assisted living facility in Crystal, 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. CHEZ MICHAEL CARE LLC NPI is 1992450324. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Olubunmi Simpeh.

The provider's business location address is:

5748 REGENT AVE N
CRYSTAL, MN
ZIP 55429-815
Phone: (269) 873-0690

The provider's authorized official is Olubunmi Simpeh .
The authorized official title is Owner and has the following contact phone number (612) 888-3515.

The CLIA number assigned to this NPI record is 24D2265248 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2022 and was last updated on 3/22/2022.

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
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
2251E00000XHome HealthNo
33104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
4310400000XAssisted 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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