DIRECT HOME CARE SERVICES LLC
NPI 1114669801
Assisted Living Facility in Elk River, MN

Active since April 12, 2022CLIA 24D2271864 · Waiver
19449 RUSH ST NW, ELK RIVER, MN 55330(763) 898-9162 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Direct Home Care Services Llc NPPES

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

DIRECT HOME CARE SERVICES LLC (NPI 1114669801) is a healthcare organization registered as an assisted living facility in Elk River, Minnesota and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Sam G Totimeh, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1114669801
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDIRECT HOME CARE SERVICES LLC
Location Address19449 RUSH ST NWElk River, MN 55330-4132
Mailing Address19449 Rush St NwElk River, MN 55330-4132 · (763) 898-9162
Organization SubpartNo
Authorized OfficialSam G TotimehPresident & Ceo · (763) 898-9162
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
NPI 1114669801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedHome HealthTaxonomy 251E00000X
19449 RUSH ST NW, Elk River, MN 55330

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 24D2271864

Direct Home Care Services LLC · Elk River, MN
Active · expires Nov 8, 2026
CLIA Number24D2271864
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorSam Garnett Totimeh
Laboratory Phone(763) 898-9162
Laboratory LocationDirect Home Care Services LLC19449 Rush St NW, Elk River, MN 55330
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.

Home Health
19449 RUSH ST NW
ELK RIVER, MN 55330

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 Direct Home Care Services LLC's NPI number?

The NPI number for Direct Home Care Services LLC is 1114669801. It was assigned to this organization in the NPPES registry on April 12, 2022.

Where is Direct Home Care Services LLC located?

Direct Home Care Services LLC is located at 19449 Rush St NW, Elk River, MN 55330. The listed phone number is (763) 898-9162.

What is Direct Home Care Services LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Direct Home Care Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2271864) is associated with this NPI, valid through November 8, 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 Direct Home Care Services LLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.