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MAI HERO, LLC
NPI 1295557536
Assisted Living Facility in Brooklyn Park, MN

Active since October 28, 2024CLIA 24D2323733 · Waiver
6609 NEDDERSEN PKWY, BROOKLYN PARK, MN 55445(763) 464-2681 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mai Hero, Llc NPPES

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

MAI HERO, LLC (NPI 1295557536) is a healthcare organization registered as an assisted living facility in Brooklyn Park, Minnesota and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Mai Nou Thao, Owner, as its authorized official.

NPPES Registry Identity

NPI1295557536
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAI HERO, LLC
Location Address6609 NEDDERSEN PKWYBrooklyn Park, MN 55445-3204
Mailing Address6609 Neddersen PkwyBrooklyn Park, MN 55445-3204 · (763) 464-2681
Phone(763) 464-2681
Organization SubpartNo
Authorized OfficialMai Nou ThaoOwner · (763) 464-2681
Enumeration DateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1295557536 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.
6609 NEDDERSEN PKWY, Brooklyn Park, MN 55445
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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 24D2323733

Mai Hero, LLC · Brooklyn Park, MN
Active · expires May 12, 2027
CLIA Number24D2323733
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorMai Nou Thao
Laboratory Phone(763) 464-2681
Laboratory LocationMai Hero, LLC6609 Neddersen Parkway, Brooklyn Park, MN 55445
CLIA data matches this NPI record on: Address Name Phone
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 Mai Hero, LLC's NPI number?

The NPI number for Mai Hero, LLC is 1295557536. It was assigned to this organization in the NPPES registry on October 28, 2024.

Where is Mai Hero, LLC located?

Mai Hero, LLC is located at 6609 Neddersen Pkwy, Brooklyn Park, MN 55445. The listed phone number is (763) 464-2681.

What is Mai Hero, LLC's specialty?

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

Does Mai Hero, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2323733) is associated with this NPI, valid through May 12, 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 Mai Hero, LLC was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.