# FORTUNATE HOMES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FORTUNATE HOMES LLC
- **Other names:** FORTUNATE HOMES-HCBS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467257873
- **Legal business name:** FORTUNATE HOMES LLC
- **Authorized official:** SUSAN OBWAYA (CEO/DESIGNATOR MANAGER)
- **Authorized official phone:** (952) 994-5356

## Contact information

- **Practice address:** 7006 E FISH LAKE RD, MAPLE GROVE, MN 55311-2832
- **Practice address phone:** (952) 994-5356
- **Practice address fax:** (952) 674-7774
- **Mailing address:** 7006 E FISH LAKE RD, MAPLE GROVE, MN 55311-2832
- **Mailing address phone:** (952) 994-5356
- **Mailing address fax:** (952) 674-7774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 02/18/2025
- **Last updated:** 02/18/2025