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ELMORE ASSISTED LIVING
NPI 1003281973
Assisted Living Facility in Golden Valley, MN

Active since December 03, 2015CLIA 24D2106603 · Waiver
800 BOONE AVE N, GOLDEN VALLEY, MN 55427(763) 233-7564(763) 417-9999 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elmore Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELMORE ASSISTED LIVING (NPI 1003281973) is a healthcare organization registered as an assisted living facility in Golden Valley, Minnesota and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Michael Alan Lecy, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1003281973
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOME CARE PROFESSIONALS, INC
Location Address800 BOONE AVE NGolden Valley, MN 55427-4468
Mailing Address800 Boone Ave NGolden Valley, MN 55427-4468 · (763) 233-7564 · Fax (763) 417-9999
Phone(763) 233-7564
Fax(763) 417-9999
Organization SubpartNo
Authorized OfficialMichael Alan LecyDirector Of Operations · (763) 233-7565
Enumeration DateDecember 3, 2015
✔ NPI 1003281973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Licenses✔ Licensed in MN · 375331✔ Licensed in MN · 375339
Definition
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.
800 BOONE AVE N, Golden Valley, MN 55427
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Other Names 1

Doing Business AsElmore Assisted Living

Other Identifiers 2

Other375331MN · Minnesota Department Of Health - Temporary Copmprehensive Home Care
Other375339MN · Minnesota Department Of Health - Temporary Copmprehensive Home Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2106603

Elmore Assisted Living · Elmore, MN
Active · expires Dec 21, 2027
CLIA Number24D2106603
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorNina Hanevik
Laboratory Phone(763) 233-7565
Laboratory LocationElmore Assisted Living202 North Street East, Elmore, MN 56027
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDLAB INC
Clinical Medical Laboratory
800 BOONE AVE N
GOLDEN VALLEY, MN 55427
Hennepin County (763) 267-6654
MYRIA KIRKPATRICK COTA/L
Occupational Therapy Assistant
800 BOONE AVE N, 200
GOLDEN VALLEY, MN 55427
Hennepin County (763) 417-8888
DAVID OLSHANSKY
Physical Therapist
800 BOONE AVE N
MINNEAPOLIS, MN 55427
Hennepin County (612) 986-2084
HOME HEALTH CARE, INCORPORATED
Registered Nurse (Home Health)
800 BOONE AVE N, SUITE 200
GOLDEN VALLEY, MN 55427
Hennepin County (176) 341-7888
JAMES ROBERT ISBELL PTA
Physical Therapy Assistant
800 BOONE AVE N
GOLDEN VALLEY, MN 55427
Hennepin County (763) 417-8888
SUMMIT HOME HEALTH CARE, INC.
Home Health
800 BOONE AVE N, SUITE 175
GOLDEN VALLEY, MN 55427
Hennepin County (763) 546-8477
JULI ANN GROATH D.P.T.
Physical Therapist
800 BOONE AVE N
GOLDEN VALLEY, MN 55427
Hennepin County (763) 267-6654
ERIN WELU
Occupational Therapist
800 BOONE AVE N
GOLDEN VALLEY, MN 55427
Hennepin County (763) 417-8888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Home Care Professionals, Inc's NPI number?

The NPI number for Home Care Professionals, Inc is 1003281973. It was assigned to this organization in the NPPES registry on December 3, 2015. The provider is doing business as Elmore Assisted Living.

Where is Home Care Professionals, Inc located?

Home Care Professionals, Inc is located at 800 Boone Ave N, Golden Valley, MN 55427. The listed phone number is (763) 233-7564.

What is Home Care Professionals, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Home Care Professionals, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2106603) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Home Care Professionals, Inc was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.