Healthcare Provider Details

I. General information

NPI: 1639057581
Provider Name (Legal Business Name): ASSURANT RECUPERATIVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 113TH LN NE
BLAINE MN
55449-4450
US

IV. Provider business mailing address

3076 131ST CT NE
BLAINE MN
55449-6279
US

V. Phone/Fax

Practice location:
  • Phone: 763-339-4495
  • Fax:
Mailing address:
  • Phone: 763-339-4495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL OBWAYA
Title or Position: DIRECTOR
Credential:
Phone: 763-339-4495