Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeastern Home Group LLC

Organization Assisted Living Facility (Mental Illness) · NPI 1871344523

Northeastern Home Group LLC is an Assisted Living Facility (Mental Illness) in Minnetonka, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10255 Greenbrier Rd Apt 122
Minnetonka, MN 55305-3425
Phone: (952) 209-4046
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X

Record details

NPI number1871344523
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fadumo Jama — Director · (612) 203-2394
NPI enumeratedApril 1, 2024
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address716 County Road 10 Ne Apt 234, Blaine, MN 55434-2331