RISEN HOME CARE LLC
NPI 1154968824
Home Health in Maple Grove, MN

Q: What is Risen Home Care LLC's NPI number?

The NPI number for Risen Home Care LLC is 1154968824. It was assigned to this organization in the NPPES registry on December 2, 2019.

Q: What is Risen Home Care LLC's specialty?

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

Active since December 02, 2019CLIA 24D2180812 · Waiver

11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369(763) 227-8846(763) 445-2501 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Risen Home Care Llc NPPES

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

RISEN HOME CARE LLC (NPI 1154968824) is a healthcare organization registered as a home health in Maple Grove, Minnesota and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Angelique Biakasasa Kapila, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1154968824

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameRISEN HOME CARE LLC

Location Address11670 FOUNTAINS DR STE 200Maple Grove, MN 55369-7195

Mailing Address11670 Fountains Dr Ste 200Maple Grove, MN 55369-7195 · (763) 227-8846 · Fax (763) 445-2501

Phone(763) 227-8846

Fax(763) 445-2501

Organization SubpartNo

Authorized OfficialAngelique Biakasasa KapilaChief Administrative Officer · (763) 227-8846

Enumeration DateDecember 2, 2019

✔ NPI 1154968824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

11670 FOUNTAINS DR STE 200, Maple Grove, MN 55369

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Other Identifiers 1

Other1851953343MN · Home Health Care

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 24D2180812

Risen Home Care LLC · Brooklyn Center, MN

Active · expires Mar 19, 2028

CLIA Number24D2180812

Laboratory TypeAssisted Living Facility

Certificate Effective DateMarch 20, 2026

Certificate Expiration DateMarch 19, 2028

Laboratory DirectorAngelique Kapila

Laboratory Phone(763) 227-8846

Laboratory LocationRisen Home Care LLC3012 Thurber Rd, Brooklyn Center, MN 55429

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

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