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PREMIUM HOME HEALTHCARE LLC
NPI 1013475227
Home Health in Brooklyn Park, MN

Active since March 06, 2019CLIA Certified · 3 labs
3808 94TH AVE N, BROOKLYN PARK, MN 55443(763) 568-8828 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premium Home Healthcare Llc NPPES

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

PREMIUM HOME HEALTHCARE LLC (NPI 1013475227) is a healthcare organization registered as a home health in Brooklyn Park, Minnesota and active in the NPI registry since March 2019. The organization holds 3 active CLIA laboratory certificates and lists Ifeyinwa Osakwe, Program Director, as its authorized official.

NPPES Registry Identity

NPI1013475227
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePREMIUM HOME HEALTHCARE LLC
Location Address3808 94TH AVE NBrooklyn Park, MN 55443-1836
Mailing Address3808 94th Ave NBrooklyn Park, MN 55443-1836 · (763) 568-8828
Phone(763) 568-8828
Organization SubpartNo
Authorized OfficialIfeyinwa OsakweProgram Director · (763) 568-8828
Enumeration DateMarch 6, 2019
✔ NPI 1013475227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3808 94TH AVE N, Brooklyn Park, MN 55443
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CLIA Laboratory Certificates CMS CLIA 3

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 24D2177561

Premium Home Healthcare LLC · Brooklyn Center, MN
Active · expires Jan 13, 2028
CLIA Number24D2177561
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorIfeyinwa Osakwe
Laboratory Phone(763) 568-8828
Laboratory LocationPremium Home Healthcare LLC6424 Fremont Ave N, Brooklyn Center, MN 55430
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2312190

Premium Home Healthcare LLC · Brooklyn Park, MN
Active · expires Oct 6, 2026
CLIA Number24D2312190
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorIfeyinwa Osakwe
Laboratory Phone(763) 568-8828
Laboratory LocationPremium Home Healthcare LLC5701 88th Crescent, Brooklyn Park, MN 55443
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2240301

Premium Home Healthcare LLC · Brooklyn Park, MN
Active · expires Oct 18, 2027
CLIA Number24D2240301
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorIfeyinwa Osakwe
Laboratory Phone(763) 568-8826
Laboratory LocationPremium Home Healthcare LLC9020 Prestwick Parkway N, Brooklyn Park, MN 55443
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Premium Home Healthcare LLC's NPI number?

The NPI number for Premium Home Healthcare LLC is 1013475227. It was assigned to this organization in the NPPES registry on March 6, 2019.

Where is Premium Home Healthcare LLC located?

Premium Home Healthcare LLC is located at 3808 94th Ave N, Brooklyn Park, MN 55443. The listed phone number is (763) 568-8828.

What is Premium Home Healthcare LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Premium Home Healthcare LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premium Home Healthcare LLC was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.