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CAREMARK HOME HEALTH CARE LLC
NPI 1407476252
Home Health in Minneapolis, MN

Active since April 22, 2020CLIA 24D2191744 · Waiver
720 E LAKE ST # 100, MINNEAPOLIS, MN 55407(612) 399-9987(952) 487-4284 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 4, 2021, Sep 16, 2021, Mar 25, 2021 and 3 more (6 updates tracked since 2020).

About Caremark Home Health Care Llc NPPES

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

CAREMARK HOME HEALTH CARE LLC (NPI 1407476252) is a healthcare organization registered as a home health in Minneapolis, Minnesota and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Idris O Abdi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407476252
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCAREMARK HOME HEALTH CARE LLC
Location Address720 E LAKE ST # 100Minneapolis, MN 55407-1547
Mailing Address720 E Lake St # 100Minneapolis, MN 55407-1547 · (612) 501-1346 · Fax (952) 487-4284
Phone(612) 399-9987
Fax(952) 487-4284
Organization SubpartNo
Authorized OfficialIdris O AbdiAdministrator · (612) 399-9987
Enumeration DateApril 22, 2020
Last NPPES UpdateOctober 4, 20216 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1407476252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
720 E LAKE ST # 100, Minneapolis, MN 55407
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Other Names 1

Doing Business AsCaremark Home Health Care Llc

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 24D2191744

Caremark Home Health Care LLC · Minneapolis, MN
Active · expires Aug 31, 2026
CLIA Number24D2191744
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorShukran J. Gure
Laboratory Phone(612) 399-9987
Laboratory LocationCaremark Home Health Care LLC720 E Lake St #100, Minneapolis, MN 55407
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Caremark Home Health Care LLC (CMS certification number 248162), from CMS Care Compare.

Caremark Home Health Care LLC

Home health agency · Minneapolis, MN
CMS Certification Number248162
Medicare-Certified SinceFebruary 18, 2023
Phone(612) 399-9987

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 Caremark Home Health Care LLC's NPI number?

The NPI number for Caremark Home Health Care LLC is 1407476252. It was assigned to this organization in the NPPES registry on April 22, 2020.

Where is Caremark Home Health Care LLC located?

Caremark Home Health Care LLC is located at 720 E Lake St # 100, Minneapolis, MN 55407. The listed phone number is (612) 399-9987.

What is Caremark Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Caremark Home Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2191744) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Caremark Home Health Care LLC a Medicare-certified home health agency?

Yes. Caremark Home Health Care LLC is a Medicare-certified home health agency, certified since February 18, 2023.

When was this NPI record last updated?

The NPPES record for Caremark Home Health Care LLC was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.