COMMUNITY-CONNECT HOME CARE LLC
NPI 1063365922
Home Health in Bloomington, MN

Active since February 19, 2026CLIA 24D2331910 · Waiver
3001 METRO DR STE 260, BLOOMINGTON, MN 55425(952) 324-5713(952) 378-2860 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community-connect Home Care Llc NPPES

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

COMMUNITY-CONNECT HOME CARE LLC (NPI 1063365922) is a healthcare organization registered as a home health in Bloomington, Minnesota and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Nevil Genjang, Onner/ceo, as its authorized official.

NPPES Registry Identity

NPI1063365922
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCOMMUNITY-CONNECT HOME CARE LLC
Location Address3001 METRO DR STE 260Bloomington, MN 55425-1548
Mailing Address17891 Elder AveLakeville, MN 55044-4984 · (952) 324-5713 · Fax (952) 378-2860
Fax(952) 378-2860
Organization SubpartNo
Authorized OfficialNevil GenjangOnner/ceo · (240) 486-4147
Enumeration DateFebruary 19, 2026
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
NPI 1063365922 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.

3001 METRO DR STE 260, Bloomington, MN 55425

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 24D2331910

Community-Connect Home Care LLC · Bloomington, MN
Active · expires Oct 8, 2027
CLIA Number24D2331910
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorNevil Genjang
Laboratory Phone(952) 324-5713
Laboratory LocationCommunity-Connect Home Care LLC3001 Metro Dr Ste 260, Bloomington, MN 55425
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Pathology (Chemical Pathology)
3001 METRO DR STE 260
BLOOMINGTON, MN 55425
Pharmacist
3001 METRO DR STE 260
BLOOMINGTON, MN 55425
Home Health
3001 METRO DR STE 260
BLOOMINGTON, MN 55425
Non-emergency Medical Transport (VAN)
3001 METRO DR STE 260
BLOOMINGTON, MN 55425

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 Community-Connect Home Care LLC's NPI number?

The NPI number for Community-Connect Home Care LLC is 1063365922. It was assigned to this organization in the NPPES registry on February 19, 2026.

Where is Community-Connect Home Care LLC located?

Community-Connect Home Care LLC is located at 3001 Metro Dr Ste 260, Bloomington, MN 55425. The listed phone number is (952) 324-5713.

What is Community-Connect Home Care LLC's specialty?

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

Does Community-Connect Home Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2331910) is associated with this NPI, valid through October 8, 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 Community-Connect Home Care LLC was last updated on February 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.