Healthcare Provider Details

I. General information

NPI: 1851228233
Provider Name (Legal Business Name): AMARA HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13033 YELLOW PINE ST NW
COON RAPIDS MN
55448-4028
US

IV. Provider business mailing address

10615 JUNEAU LN N
MAPLE GROVE MN
55369-8511
US

V. Phone/Fax

Practice location:
  • Phone: 704-680-0170
  • Fax: 763-515-0043
Mailing address:
  • Phone: 704-680-0170
  • Fax: 763-515-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JUDITH ONSOMU
Title or Position: OWNER
Credential:
Phone: 704-680-0170