PRIME HOME ALLIANCE LLC
NPI 1346125945
Assisted Living Facility in Burnsville, MN
About Prime Home Alliance Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME HOME ALLIANCE LLC (NPI 1346125945) is a healthcare organization registered as an assisted living facility in Burnsville, Minnesota and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Amal Odawa, Owner/director/administrator/rn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 24D2345392
Prime Home Alliance LLC · Burnsville, MNFrequently 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 Prime Home Alliance LLC's NPI number?
The NPI number for Prime Home Alliance LLC is 1346125945. It was assigned to this organization in the NPPES registry on August 11, 2025.
Where is Prime Home Alliance LLC located?
Prime Home Alliance LLC is located at 2305 Terrace Dr, Burnsville, MN 55337. The listed phone number is (612) 406-9629.
What is Prime Home Alliance LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Prime Home Alliance LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2345392) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prime Home Alliance LLC was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Prime Home Alliance Llc · NPI 1346125945
Assisted Living Facility organization in Burnsville, Minnesota. Organization record, active in the CMS NPPES registry since August 11, 2025.
## Identity
- **NPI:** 1346125945 (Entity type: Organization)
- **Enumerated:** August 11, 2025
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Prime Home Alliance LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Amal Odawa, OWNER/DIRECTOR/ADMINISTRATOR/RN
## Practice location
- **Address:** 2305 TERRACE DR, Burnsville, MN 55337-2089
- **Phone:** (612) 406-9629
## Record status
- **NPPES last updated:** August 11, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346125945) · Data from the CMS NPPES public registry.