OrganizationActive
Hearthside Care LLC
NPI 1629862560 · Health Service Clinic/Center · Minnetonka, MN
Provider details
- NPI number
- 1629862560
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ayub Mohamed, Ceo(952) 222-2222
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12800 Whitewater Dr Ste 100
Minnetonka, MN 55343-9347
Phone: (962) 222-2222
Approximate (ZIP-level) locationGet directions
Mailing address
12800 Whitewater Dr Ste 100
Minnetonka, MN 55343-9347
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-04-07
- Certified
- 2025-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.