Healthcare Provider Details

I. General information

NPI: 1043170657
Provider Name (Legal Business Name): ALIGN RESIDENTIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2025
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 CEDAR DR N
HUDSON WI
54016-1127
US

IV. Provider business mailing address

1910 24TH AVE N
MINNEAPOLIS MN
55411-1802
US

V. Phone/Fax

Practice location:
  • Phone: 612-517-5883
  • Fax:
Mailing address:
  • Phone: 612-517-5883
  • 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 Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: SIHAM JAMA HASHI
Title or Position: OWNER
Credential:
Phone: 612-517-5883