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LAKELAND HEALTH SERVICES, LLC
NPI 1396439261
Home Health Aide in Coon Rapids, MN

Active since June 05, 2023CLIA 24D2304466 · Waiver
11840 FOLEY BLVD NW, COON RAPIDS, MN 55448(763) 273-3046 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeland Health Services, Llc NPPES

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

LAKELAND HEALTH SERVICES, LLC (NPI 1396439261) is a healthcare organization registered as a home health aide in Coon Rapids, Minnesota and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Haydarus Ibrahim, Authorized Agent/manger, as its authorized official.

NPPES Registry Identity

NPI1396439261
Entity TypeOrganization
Primary Taxonomy374U00000X
Legal Business NameLAKELAND HEALTH SERVICES, LLC
Location Address11840 FOLEY BLVD NWCoon Rapids, MN 55448-2210
Mailing Address11840 Foley Blvd NwCoon Rapids, MN 55448-2210 · (763) 273-3046
Phone(763) 273-3046
Organization SubpartNo
Authorized OfficialHaydarus IbrahimAuthorized Agent/manger · (763) 273-3046
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1396439261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
11840 FOLEY BLVD NW, Coon Rapids, MN 55448
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 24D2304466

Lakeland Health Services · Coon Rapids, MN
Active · expires May 13, 2028
CLIA Number24D2304466
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorUrji Gamada
Laboratory Phone(651) 424-7888
Laboratory LocationLakeland Health Services11840 Foley Blvd NW, Coon Rapids, MN 55448
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 Lakeland Health Services, LLC's NPI number?

The NPI number for Lakeland Health Services, LLC is 1396439261. It was assigned to this organization in the NPPES registry on June 5, 2023.

Where is Lakeland Health Services, LLC located?

Lakeland Health Services, LLC is located at 11840 Foley Blvd NW, Coon Rapids, MN 55448. The listed phone number is (763) 273-3046.

What is Lakeland Health Services, LLC's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Does Lakeland Health Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2304466) is associated with this NPI, valid through May 13, 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 Lakeland Health Services, LLC was last updated on June 5, 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.