PRIMUS INCORPORATED
NPI 1316494032
Community/Behavioral Health in Brooklyn Park, MN

Active since September 10, 2016CLIA 24D2138614 · Waiver
7309 KENTUCKY AVE N, BROOKLYN PARK, MN 55428(763) 269-9241 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Primus Incorporated NPPES

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

PRIMUS INCORPORATED (NPI 1316494032) is a healthcare organization registered as a community/behavioral health in Brooklyn Park, Minnesota and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Taiwo Remilekun Obazeluwa-afolayan, Clinical Administrator, as its authorized official.

NPPES Registry Identity

NPI1316494032
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRIMUS INCORPORATED
Location Address7309 KENTUCKY AVE NBrooklyn Park, MN 55428-1222
Mailing Address7309 Kentucky Ave NBrooklyn Park, MN 55428-1222 · (763) 732-3729
Organization SubpartNo
Authorized OfficialTaiwo Remilekun Obazeluwa-afolayanClinical Administrator · (763) 732-3729
Enumeration DateSeptember 10, 2016
Last NPPES UpdateJanuary 25, 2017
NPI 1316494032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in MN · 377540
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
7309 KENTUCKY AVE N, Brooklyn Park, MN 55428

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 24D2138614

Primus Incorporated · Brooklyn Park, MN
Active · expires Oct 22, 2027
CLIA Number24D2138614
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorTaiwo R. Obazeluwa-Afolayan
Laboratory Phone(763) 732-3729
Laboratory LocationPrimus Incorporated7309 Kentucky Avenue North, Brooklyn Park, MN 55428
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 Primus Incorporated's NPI number?

The NPI number for Primus Incorporated is 1316494032. It was assigned to this organization in the NPPES registry on September 10, 2016.

Where is Primus Incorporated located?

Primus Incorporated is located at 7309 Kentucky Ave N, Brooklyn Park, MN 55428. The listed phone number is (763) 269-9241.

What is Primus Incorporated's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Primus Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2138614) is associated with this NPI, valid through October 22, 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 Primus Incorporated was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.