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

Willow Residence LLC

Organization Assisted Living Facility · NPI 1184493124

Willow Residence LLC is an Assisted Living Facility in Minneapolis, 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.

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Practice location Address checks out

3208 Park Ave
Minneapolis, MN 55407-2008
Phone: (612) 913-2975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1184493124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Faisa Hussein — Owner · (612) 913-2975
NPI enumeratedJanuary 1, 2024
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024
Mailing address3208 Park Ave, Minneapolis, MN 55407-2008

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