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ANCHOR HOUSE LLC
NPI 1134880461
Home Health in Brooklyn Park, MN

Active since January 08, 2022
6292 CENTURY BLVD, BROOKLYN PARK, MN 55429(763) 432-5488 Get Directions Write a Review

NPPES record last updated: January 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anchor House Llc NPPES

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

ANCHOR HOUSE LLC (NPI 1134880461) is a healthcare organization registered as a home health in Brooklyn Park, Minnesota and active in the NPI registry since January 2022. The organization lists Omotola Edison-edebor, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1134880461
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameANCHOR HOUSE LLC
Location Address6292 CENTURY BLVDBrooklyn Park, MN 55429-1031
Mailing Address5501 Lakeland Ave N Ste 101cCrystal, MN 55429-3171 · (763) 843-1469
Phone(763) 432-5488
Organization SubpartNo
Authorized OfficialOmotola Edison-edeborManaging Member · (612) 229-1012
Enumeration DateJanuary 8, 2022
NPPES CertifiedJanuary 8, 2022
✔ NPI 1134880461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedRespite CareTaxonomy 385H00000X
6292 CENTURY BLVD, Brooklyn Park, MN 55429
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Other Identifiers 3

MedicaidA574462400MN
MedicaidA427110300MN
MedicaidA487497100MN

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 Anchor House LLC's NPI number?

The NPI number for Anchor House LLC is 1134880461. It was assigned to this organization in the NPPES registry on January 8, 2022.

Where is Anchor House LLC located?

Anchor House LLC is located at 6292 Century Blvd, Brooklyn Park, MN 55429. The listed phone number is (763) 432-5488.

What is Anchor House LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Anchor House LLC was last updated on January 8, 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.