ADVOCATE HOUSE ASSISTED LIVING SERVICES LLC
NPI 1053137729
Assisted Living Facility - Assisted Living, Mental Illness in Plymouth, MN
About Advocate House Assisted Living Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVOCATE HOUSE ASSISTED LIVING SERVICES LLC (NPI 1053137729) is a healthcare organization registered as an assisted living, mental illness in Plymouth, Minnesota and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Elohor Blessing Gordon, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 24D2325784
Advocate House Assisted Living Services · Plymouth, MNOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Advocate House Assisted Living Services LLC's NPI number?
The NPI number for Advocate House Assisted Living Services LLC is 1053137729. It was assigned to this organization in the NPPES registry on November 27, 2024.
Where is Advocate House Assisted Living Services LLC located?
Advocate House Assisted Living Services LLC is located at 17910 28th Ave N, Plymouth, MN 55447. The listed phone number is (612) 886-4909.
What is Advocate House Assisted Living Services LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.
Does Advocate House Assisted Living Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2325784) is associated with this NPI, valid through June 19, 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 Advocate House Assisted Living Services LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Advocate House Assisted Living Services Llc · NPI 1053137729
Assisted Living, Mental Illness organization in Plymouth, Minnesota. Organization record, active in the CMS NPPES registry since November 27, 2024.
## Identity
- **NPI:** 1053137729 (Entity type: Organization)
- **Enumerated:** November 27, 2024
- **Primary specialty:** Assisted Living Facility - Assisted Living, Mental Illness · taxonomy 3104A0625X
- **Organization subpart:** No
- **Authorized official:** Elohor Gordon, CEO
## Practice location
- **Address:** 17910 28TH AVE N, Plymouth, MN 55447-1625
- **Phone:** (612) 886-4909
## Record status
- **NPPES last updated:** April 28, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053137729) · Data from the CMS NPPES public registry.