ELICIA HOMECARE SERVICES LLC NPI 1679278949

NPI Information

  • NPI: 1679278949
  • Provider Name: ELICIA HOMECARE SERVICES LLC
  • Classification: Nursing Care - 251J00000X
  • Entity Type: Organization
  • Address: 7100 NORTHLAND CIR N STE 123
    BROOKLYN PARK, MN
    ZIP 55428
  • Phone: (612) 709-3880

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NPI Details

ELICIA HOMECARE SERVICES LLC is a nursing care in Brooklyn Park, MN. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. ELICIA HOMECARE SERVICES LLC NPI is 1679278949. The provider is registered as an organization entity type.

The provider's business location address is:

7100 NORTHLAND CIR N STE 123
BROOKLYN PARK, MN
ZIP 55428-500
Phone: (612) 709-3880
Fax: (612) 454-2583

The provider's authorized official is Angelle Clermont Kanneh .
The authorized official title is Executive Director and has the following contact phone number (612) 709-3880.

The enumeration date for this NPI number is 4/4/2023 and was last updated on 9/26/2025.

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
1253Z00000XIn Home Supportive CareNo
2310400000XAssisted Living FacilityNo
33104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
4251J00000XNursing CareYes

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: 11/21/2025

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