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BLAINE HEALTH SERVICES LLC
NPI 1083438923
Home Health in Blaine, MN

Active since November 07, 2024CLIA 24D2330930 · Waiver
13250 NASSAU CT NE, BLAINE, MN 55449(763) 318-5008 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2024, Nov 7, 2024 (2 updates tracked since 2024).

About Blaine Health Services Llc NPPES

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

BLAINE HEALTH SERVICES LLC (NPI 1083438923) is a healthcare organization registered as a home health in Blaine, Minnesota and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Valentine B Obwogi, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1083438923
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameBLAINE HEALTH SERVICES LLC
Location Address13250 NASSAU CT NEBlaine, MN 55449-4989
Mailing Address13250 Nassau Ct NeBlaine, MN 55449-4989 · (763) 318-5008
Phone(763) 318-5008
Organization SubpartNo
Authorized OfficialValentine B ObwogiOwner/ceo · (763) 318-5008
Enumeration DateNovember 7, 2024
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1083438923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedHospice, InpatientTaxonomy 315D00000X
13250 NASSAU CT NE, Blaine, MN 55449
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 24D2330930

Blaine Health Services LLC · Blaine, MN
Active · expires Sep 23, 2027
CLIA Number24D2330930
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorValentine B. Obwogi
Laboratory Phone(763) 318-5008
Laboratory LocationBlaine Health Services LLC13250 Nassau Ct NE, Blaine, MN 55449
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 2

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

BLAINE HEALTH SERVICES LLC
Home Health
13250 NASSAU CT NE
BLAINE, MN 55449
Anoka County (763) 318-5008
VALENTINE BITUTU OBWOGI
Home Health Aide
13250 NASSAU CT NE
BLAINE, MN 55449
Anoka County (763) 318-5008

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 Blaine Health Services LLC's NPI number?

The NPI number for Blaine Health Services LLC is 1083438923. It was assigned to this organization in the NPPES registry on November 7, 2024.

Where is Blaine Health Services LLC located?

Blaine Health Services LLC is located at 13250 Nassau Ct NE, Blaine, MN 55449. The listed phone number is (763) 318-5008.

What is Blaine Health Services LLC's specialty?

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

Does Blaine Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2330930) is associated with this NPI, valid through September 23, 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 Blaine Health Services LLC was last updated on November 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.