OrganizationActive
Plateau Healthcare LLC
NPI 1134431802 · Nursing Care Agency · Brooklyn Center, MN
Provider details
- NPI number
- 1134431802
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Faisale Boukari, President(763) 444-1361
- License
- 352764 (MN)
Specialties & taxonomies
Agencies
Agencies
Agencies
Agencies
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6424 June Ave N
Brooklyn Center, MN 55429-2127
Phone: (763) 444-1361
Fax: (763) 444-1358
Street-level locationGet directions
Mailing address
8848 Zealand Ave N Ste B
Brooklyn Park, MN 55445-1891
Other names (DBA / former)
- Doing business as
- Phc Community
Additional practice locations (5)
- 9923 Queen CirBloomington, MN 55431-2847Phone: (763) 444-1361Fax: (763) 444-1358
- 1817 Laramie TrlBrooklyn Park, MN 55444-1902Phone: (763) 444-1361Fax: (763) 444-1358
- 7890 Mount Curve Blvd NBrooklyn Park, MN 55445-3001Phone: (763) 444-1361Fax: (763) 444-1358
- 9962 104th Ave NMaple Grove, MN 55369-2941Phone: (763) 444-1361Fax: (763) 444-1358
- 7900 Mount Curve BlvdMinneapolis, MN 55445-2352Phone: (763) 444-1361Fax: (763) 444-1358
Registry dates
- Enumerated
- 2010-07-09
- Last updated
- 2023-04-28
- Certified
- 2023-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.