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Plateau Healthcare Maple Grove LLC

Nursing Care Agency in Maple Grove, MN · enumerated 2019 · authorized official Faisale Boukari, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811544166

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Registry record

Entity type Organization (Type 2)
Legal business name Plateau Healthcare Maple Grove LLC
Practice address 9962 104th Ave N, Maple Grove, MN, 55369
Fax (763) 444-1358
Enumeration date Aug 21, 2019
Last updated in NPPES Aug 21, 2019

Taxonomy & classification

251E00000X Home Health Agency Agencies Secondary
251J00000X Nursing Care Agency Agencies Primary
253Z00000X In Home Supportive Care Agency Agencies Secondary

Authorized official

Name Faisale Boukari
Title President

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Plateau Healthcare Maple Grove LLC?
Plateau Healthcare Maple Grove LLC is registered in NPPES as a Nursing Care Agency (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-21.