3D INNOVATIVE CARES LLC
NPI 1124881867
Assisted Living Facility in Brooklyn Park, MN

Active since February 05, 2024CLIA 24D2311923 · Waiver
1924 SUGARLOAF TRL, BROOKLYN PARK, MN 55444(310) 745-6387 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 3d Innovative Cares Llc NPPES

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

3D INNOVATIVE CARES LLC (NPI 1124881867) is a healthcare organization registered as an assisted living facility in Brooklyn Park, Minnesota and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Abisoye Akintan, Manager, as its authorized official.

NPPES Registry Identity

NPI1124881867
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business Name3D INNOVATIVE CARES LLC
Location Address1924 SUGARLOAF TRLBrooklyn Park, MN 55444-1929
Mailing Address8824 138th St WSavage, MN 55378-3130 · (310) 745-6387
Organization SubpartNo
Authorized OfficialAbisoye AkintanManager · (310) 745-6387
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
NPI 1124881867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1924 SUGARLOAF TRL, Brooklyn Park, MN 55444

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 24D2311923

3D Innovative Cares · Brooklyn Park, MN
Active · expires Sep 30, 2026
CLIA Number24D2311923
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorMotunrayo Faniyi
Laboratory Phone(310) 745-6387
Laboratory Location3D Innovative Cares1924 Sugarloaf Trail, Brooklyn Park, MN 55444
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 3D Innovative Cares LLC's NPI number?

The NPI number for 3D Innovative Cares LLC is 1124881867. It was assigned to this organization in the NPPES registry on February 5, 2024.

Where is 3D Innovative Cares LLC located?

3D Innovative Cares LLC is located at 1924 Sugarloaf Trl, Brooklyn Park, MN 55444. The listed phone number is (310) 745-6387.

What is 3D Innovative Cares LLC's specialty?

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

Does 3D Innovative Cares LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2311923) is associated with this NPI, valid through September 30, 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 3D Innovative Cares LLC was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.