ELICIA HOMECARE SERVICES LLC
NPI 1215639877
Clinic/Center in Brooklyn Park, MN
NPI Status: Active since March 20, 2023
Contact Information
7100 NORTHLAND CIR N STE 123
BROOKLYN PARK, MN
ZIP 55428
Phone: (612) 709-3880
Fax: (612) 454-2583
- Organization
- Clinic/Center
About ELICIA HOMECARE SERVICES LLC
This page provides the complete NPI Profile along with additional information for Elicia Homecare Services Llc, a provider established in Brooklyn Park, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1215639877 assigned on March 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Angelle Clermont Kanneh (Executive Director)
- NPI
- 1215639877
- Provider Name
- ELICIA HOMECARE SERVICES LLC
- Entity Type
- Organization
- Location Address
- 7100 NORTHLAND CIR N STE 123 BROOKLYN PARK, MN 55428
- Location Phone
- (612) 709-3880
- Location Fax
- (612) 454-2583
- Mailing Address
- 7100 NORTHLAND CIR N STE 123 BROOKLYN PARK, MN 55428
- Mailing Phone
- (612) 709-3880
- Mailing Fax
- (612) 454-2583
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2023
- Last Update Date
- 10-29-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251J00000X | Agencies | Nursing Care | |
| 2 | 253Z00000X | Agencies | In Home Supportive Care | |
| 3 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| 4 | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| 5 | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| 6 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 7 | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | |
| 8 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| 9 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 10 | 342000000X | Transportation Services | Transportation Network Company | |
| 11 | 343800000X | Transportation Services | Secured Medical Transport (VAN) | |
| 12 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| 13 | 347C00000X | Transportation Services | Private Vehicle |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215639877, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215639877, enumerated as an "organization" on March 20, 2023.
The provider is located at 7100 NORTHLAND CIR N STE 123 BROOKLYN PARK, MN 55428 and the phone number is (612) 709-3880.
Clinic/Center with taxonomy code 261Q00000X.
