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Lake Side Living

In Home Supportive Care Agency in Moorhead, MN · enumerated 2026 · authorized official Abdirahim Ismail, Rn.

Data current as of Jul 11, 2026 · sourced from CMS NPPES

National Provider Identifier

1669317129

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Side Living
Practice address 1830 40th Ave S Apt 213, Moorhead, MN, 56560
Enumeration date Apr 21, 2026
Last updated in NPPES Apr 21, 2026

Taxonomy & classification

253Z00000X In Home Supportive Care Agency Agencies Primary

Authorized official

Name Abdirahim Ismail
Title Rn

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lake Side Living?
NPPES lists Abdirahim Ismail (Rn) as the authorized official for this organization.
What is the NPI number for Lake Side Living?
The NPI for Lake Side Living is 1669317129, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-21.