OrganizationActive
Plateau Healthcare Maple Grove LLC
NPI 1811544166 · Nursing Care Agency · Maple Grove, MN
Plateau Healthcare Maple Grove LLC is a Nursing Care Agency organization in Maple Grove, MN (NPI 1811544166).
Provider details
- NPI number
- 1811544166
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Faisale Boukari, President(763) 444-1361
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
9962 104th Ave N
Maple Grove, MN 55369-2941
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 Maple Grove
Registry dates
- Enumerated
- 2019-08-21
- Last updated
- 2019-08-21
Frequently asked questions
- What is Plateau Healthcare Maple Grove LLC's NPI number?
- Plateau Healthcare Maple Grove LLC's National Provider Identifier (NPI) is 1811544166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Plateau Healthcare Maple Grove LLC?
- Plateau Healthcare Maple Grove LLC is classified in the NPPES registry as Nursing Care Agency (Agencies).
- Where is Plateau Healthcare Maple Grove LLC located?
- Plateau Healthcare Maple Grove LLC's practice location on file with NPPES is 9962 104th Ave N, Maple Grove, MN 55369-2941.
- What is Plateau Healthcare Maple Grove LLC's phone number?
- The practice phone number listed in the NPPES registry for Plateau Healthcare Maple Grove LLC is (763) 444-1361.
- Who is the authorized official for Plateau Healthcare Maple Grove LLC?
- The authorized official listed on Plateau Healthcare Maple Grove LLC's NPPES record is Faisale Boukari, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Plateau Healthcare Maple Grove LLC's NPI active?
- Yes — Plateau Healthcare Maple Grove LLC's NPI (1811544166) is active in the NPPES registry as of the last update on 2019-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.