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ELICIA HOMECARE SERVICES LLC
NPI 1215639877
Clinic/Center in Brooklyn Park, MN

Active since March 20, 2023
7100 NORTHLAND CIR N STE 123, BROOKLYN PARK, MN 55428(612) 709-3880(612) 454-2583 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elicia Homecare Services Llc NPPES

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

ELICIA HOMECARE SERVICES LLC (NPI 1215639877) is a healthcare organization registered as a clinic/center in Brooklyn Park, Minnesota and active in the NPI registry since March 2023. The organization lists Angelle Clermont Kanneh, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215639877
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameELICIA HOMECARE SERVICES LLC
Location Address7100 NORTHLAND CIR N STE 123Brooklyn Park, MN 55428-1500
Mailing Address7100 Northland Cir N Ste 123Brooklyn Park, MN 55428-1500 · (612) 709-3880 · Fax (612) 454-2583
Phone(612) 709-3880
Fax(612) 454-2583
Organization SubpartNo
Authorized OfficialAngelle Clermont KannehExecutive Director · (612) 709-3880
Enumeration DateMarch 20, 2023
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1215639877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

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).

Also ListedNursing CareTaxonomy 251J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X
Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
Also ListedTransportation Network CompanyTaxonomy 342000000X
Also ListedSecured Medical Transport (VAN)Taxonomy 343800000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedPrivate VehicleTaxonomy 347C00000X
7100 NORTHLAND CIR N STE 123, Brooklyn Park, MN 55428
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Other Providers at the Same Location NPPES

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

ELICIA HOMECARE SERVICES LLC
Nursing Care
7100 NORTHLAND CIR N STE 123
BROOKLYN PARK, MN 55428
Hennepin County (612) 709-3880

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 Elicia Homecare Services LLC's NPI number?

The NPI number for Elicia Homecare Services LLC is 1215639877. It was assigned to this organization in the NPPES registry on March 20, 2023.

Where is Elicia Homecare Services LLC located?

Elicia Homecare Services LLC is located at 7100 Northland Cir N Ste 123, Brooklyn Park, MN 55428. The listed phone number is (612) 709-3880.

What is Elicia Homecare Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Elicia Homecare Services LLC was last updated on October 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.