SUNSHINE GROUP HOME LLC
NPI 1295348381
Assisted Living Facility in Saint Paul, MN

Q: What is Sunshine Group Home LLC's NPI number?

The NPI number for Sunshine Group Home LLC is 1295348381. It was assigned to this organization in the NPPES registry on August 28, 2020.

Q: What is Sunshine Group Home LLC's specialty?

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

Active since August 28, 2020CLIA 24D2207229 · Waiver

125 MAGNOLIA AVE W, SAINT PAUL, MN 55117(612) 227-5643 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Aug 28, 2020 (2 updates tracked since 2020).

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About Sunshine Group Home Llc NPPES

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

SUNSHINE GROUP HOME LLC (NPI 1295348381) is a healthcare organization registered as an assisted living facility in Saint Paul, Minnesota and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through December 25, 2026 and lists Feisal Mohamed, Owner, as its authorized official.

NPPES Registry Identity

NPI1295348381

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSUNSHINE GROUP HOME LLC

Location Address125 MAGNOLIA AVE WSaint Paul, MN 55117-4916

Mailing Address125 Magnolia Ave WSaint Paul, MN 55117-4916 · (612) 227-5643

Phone(612) 227-5643

Organization SubpartNo

Authorized OfficialFeisal MohamedOwner · (612) 229-8207

Enumeration DateAugust 28, 2020

Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2023

✔ NPI 1295348381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedHome HealthTaxonomy 251E00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

125 MAGNOLIA AVE W, Saint Paul, MN 55117

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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 24D2207229

Sunshine Group Home LLC · Saint Paul, MN

Active · expires Dec 25, 2026

CLIA Number24D2207229

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 26, 2024

Certificate Expiration DateDecember 25, 2026

Laboratory DirectorMarwan M. Salem

Laboratory Phone(612) 447-7258

Laboratory LocationSunshine Group Home LLC125 Magnolia Ave W, Saint Paul, MN 55117

CLIA data matches this NPI record on: Address 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 Sunshine Group Home LLC's NPI number?

The NPI number for Sunshine Group Home LLC is 1295348381. It was assigned to this organization in the NPPES registry on August 28, 2020.

Where is Sunshine Group Home LLC located?

Sunshine Group Home LLC is located at 125 Magnolia Ave W, Saint Paul, MN 55117. The listed phone number is (612) 227-5643.

What is Sunshine Group Home LLC's specialty?

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

Does Sunshine Group Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2207229) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunshine Group Home LLC was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.