MEDICARE: AMARA HOMES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1851228233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMARA HOMES LLC

Provider Business Mailing Address
First Line	:	10615 JUNEAU LN N
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-8511
Country	:	US
Telephone Number	:	704-680-0170
Fax Number	:	763-515-0043

Provider Business Practice Location Address
First Line	:	13033 YELLOW PINE ST NW
Second Line	:
City	:	COON RAPIDS
State	:	MN
Zip	:	55448-4028
Country	:	US
Telephone Number	:	704-680-0170
Fax Number	:	763-515-0043

Authorized Official
Title or Position	:	OWNER
Name	:	JUDITH ONSOMU
Credential	:
Telephone Number	:	704-680-0170

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “AMARA HOMES LLC ” Practice Location

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