Healthcare Provider Details

I. General information

NPI: 1144159849
Provider Name (Legal Business Name): BJ HABITAT HOUSING STABILIZATION & PREVENTION NAVIGATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 LEE AVE N
MINNEAPOLIS MN
55422-2129
US

IV. Provider business mailing address

3605 LEE AVE N
MINNEAPOLIS MN
55422-2129
US

V. Phone/Fax

Practice location:
  • Phone: 612-300-8559
  • Fax:
Mailing address:
  • Phone: 612-300-8559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MISS SHANITA IRONS
Title or Position: ORGANIZATION
Credential:
Phone: 612-300-8559