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PLATEAU HEALTHCARE JUNE LLC
NPI 1114574464
Nursing Care in Brooklyn Center, MN

Active since August 21, 2019CLIA 24D2052721 · Waiver
6424 JUNE AVE N, BROOKLYN CENTER, MN 55429(763) 444-1361(763) 444-1358 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Plateau Healthcare June Llc NPPES

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

PLATEAU HEALTHCARE JUNE LLC (NPI 1114574464), doing business as Phc June, is a healthcare organization registered as a nursing care in Brooklyn Center, Minnesota and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Faisale Boukari, President, as its authorized official.

NPPES Registry Identity

NPI1114574464
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePLATEAU HEALTHCARE JUNE LLC
Location Address6424 JUNE AVE NBrooklyn Center, MN 55429-2127
Mailing Address8848 Zealand Ave N Ste BBrooklyn Park, MN 55445-1891 · (763) 444-1361 · Fax (763) 444-1358
Phone(763) 444-1361
Fax(763) 444-1358
Organization SubpartNo
Authorized OfficialFaisale BoukariPresident · (763) 444-1361
Enumeration DateAugust 21, 2019
✔ NPI 1114574464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
6424 JUNE AVE N, Brooklyn Center, MN 55429
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Other Names 1

Doing Business AsPhc June

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 24D2052721

Plateau Healthcare · Brooklyn Center, MN
Active · expires Jan 16, 2027
CLIA Number24D2052721
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorFaisale S. Boukari
Laboratory Phone(763) 444-1361
Laboratory LocationPlateau Healthcare6424 June Avenue North, Brooklyn Center, MN 55429
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

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

PLATEAU HEALTHCARE LLC
Nursing Care
6424 JUNE AVE N
BROOKLYN CENTER, MN 55429
Hennepin County (763) 444-1361

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 Plateau Healthcare June LLC's NPI number?

The NPI number for Plateau Healthcare June LLC is 1114574464. It was assigned to this organization in the NPPES registry on August 21, 2019. The provider is doing business as PHC June.

Where is Plateau Healthcare June LLC located?

Plateau Healthcare June LLC is located at 6424 June Ave N, Brooklyn Center, MN 55429. The listed phone number is (763) 444-1361.

What is Plateau Healthcare June LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Plateau Healthcare June LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2052721) is associated with this NPI, valid through January 16, 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 Plateau Healthcare June LLC was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.