OPTIMAL HOME OF MAPLE GROVE
NPI 1477385441
Assisted Living Facility in Maple Grove, MN
About Optimal Home Of Maple Grove NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTIMAL HOME OF MAPLE GROVE (NPI 1477385441) is a healthcare organization registered as an assisted living facility in Maple Grove, Minnesota and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Sumayo Mohamud, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 24D2281902
Optimal Home Of Maple Grove · Maple Grove, 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 Optimal Home Of Maple Grove's NPI number?
The NPI number for Optimal Home Of Maple Grove is 1477385441. It was assigned to this organization in the NPPES registry on August 17, 2024.
Where is Optimal Home Of Maple Grove located?
Optimal Home Of Maple Grove is located at 9261 Forestview Ln N, Maple Grove, MN 55369. The listed phone number is (773) 951-0691.
What is Optimal Home Of Maple Grove's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Optimal Home Of Maple Grove hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2281902) is associated with this NPI, valid through May 14, 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 Optimal Home Of Maple Grove was last updated on August 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Optimal Home Of Maple Grove · NPI 1477385441
Assisted Living Facility organization in Maple Grove, Minnesota. Organization record, active in the CMS NPPES registry since August 17, 2024.
## Identity
- **NPI:** 1477385441 (Entity type: Organization)
- **Enumerated:** August 17, 2024
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Sumayo Mohamud, ADMINISTRATOR
## Practice location
- **Address:** 9261 FORESTVIEW LN N, Maple Grove, MN 55369-3944
- **Phone:** (773) 951-0691
## Record status
- **NPPES last updated:** August 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477385441) · Data from the CMS NPPES public registry.