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DIRECT HOME CARE SERVICES LLC NPI 1114669801


NPI Information

NPI: 1114669801
Provider Name: DIRECT HOME CARE SERVICES LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D2271864

Address:
19449 RUSH ST NW
ELK RIVER, MN
ZIP 55330
Phone: (763) 898-9162
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DIRECT HOME CARE SERVICES LLC is an assisted living facility in Elk River, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. DIRECT HOME CARE SERVICES LLC NPI is 1114669801. The provider is registered as an organization entity type.

The provider's business location address is:

19449 RUSH ST NW
ELK RIVER, MN
ZIP 55330-132
Phone: (763) 898-9162

The provider's authorized official is Sam G Totimeh .
The authorized official title is President & Ceo and has the following contact phone number (763) 898-9162.

The CLIA number assigned to this NPI record is 24D2271864 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2022 and was last updated on 4/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
33104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
4310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.