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LENOX HOMES LLC
NPI 1245042589
Assisted Living Facility in St Louis Park, MN

Active since January 23, 2025CLIA 24D2331637 · Waiver
2624 XYLON AVE S, ST LOUIS PARK, MN 55426(801) 702-6860 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lenox Homes Llc NPPES

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

LENOX HOMES LLC (NPI 1245042589) is a healthcare organization registered as an assisted living facility in St Louis Park, Minnesota and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Mohamed Abdirahman Samatar, Manager, as its authorized official.

NPPES Registry Identity

NPI1245042589
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLENOX HOMES LLC
Location Address2624 XYLON AVE SSt Louis Park, MN 55426-2473
Mailing Address2624 Xylon Ave SSt Louis Park, MN 55426-2473 · (801) 702-6860
Phone(801) 702-6860
Organization SubpartNo
Authorized OfficialMohamed Abdirahman SamatarManager · (801) 702-6860
Enumeration DateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1245042589 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.
2624 XYLON AVE S, St Louis Park, MN 55426
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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 24D2331637

Lenox Homes LLC · Saint Louis Park, MN
Active · expires Oct 5, 2027
CLIA Number24D2331637
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorNajma Dhaqane
Laboratory Phone(612) 391-2023
Laboratory LocationLenox Homes LLC2624 Xylon Ave S, Saint Louis Park, MN 55426
CLIA data matches this NPI record on: Name
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 Lenox Homes LLC's NPI number?

The NPI number for Lenox Homes LLC is 1245042589. It was assigned to this organization in the NPPES registry on January 23, 2025.

Where is Lenox Homes LLC located?

Lenox Homes LLC is located at 2624 Xylon Ave S, St Louis Park, MN 55426. The listed phone number is (801) 702-6860.

What is Lenox Homes LLC's specialty?

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

Does Lenox Homes LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2331637) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lenox Homes LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.