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OLU'S HOME, INC.
NPI 1083986970
Home Health in Minneapolis, MN

Active since February 07, 2012CLIA 24D2311129 · Waiver
4013 PARK AVE, MINNEAPOLIS, MN 55407(612) 824-1142 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olu's Home, Inc. NPPES

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

OLU'S HOME, INC. (NPI 1083986970) is a healthcare organization registered as a home health in Minneapolis, Minnesota and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Gloria Freeman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083986970
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameOLU'S HOME, INC.
Location Address4013 PARK AVEMinneapolis, MN 55407-3126
Mailing AddressPo Box 11665Minneapolis, MN 55411-0665 · (612) 824-1142
Phone(612) 824-1142
Organization SubpartNo
Authorized OfficialGloria FreemanCeo · (612) 824-1142
Enumeration DateFebruary 7, 2012
✔ NPI 1083986970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MN · 355774
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.
4013 PARK AVE, Minneapolis, MN 55407
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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 24D2311129

Olu's Home, 7th Street · Saint Paul, MN
Active · expires Sep 16, 2026
CLIA Number24D2311129
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorLeigh A. Olson
Laboratory Phone(612) 824-1142
Laboratory LocationOlu's Home, 7th Street1850 7th Street, Saint Paul, MN 55119
CLIA data matches this NPI record on: Name Phone
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 Olu's Home, Inc.'s NPI number?

The NPI number for Olu's Home, Inc. is 1083986970. It was assigned to this organization in the NPPES registry on February 7, 2012.

Where is Olu's Home, Inc. located?

Olu's Home, Inc. is located at 4013 Park Ave, Minneapolis, MN 55407. The listed phone number is (612) 824-1142.

What is Olu's Home, Inc.'s specialty?

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

Does Olu's Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2311129) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Olu's Home, Inc. was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.