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AMEN HOME CARE PROVIDER LLC
NPI 1538058136
Assisted Living Facility in Oakdale, MN

Active since June 30, 2025CLIA 24D2331327 · Waiver
6550 21ST ST N, OAKDALE, MN 55128(651) 410-0418 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amen Home Care Provider Llc NPPES

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

AMEN HOME CARE PROVIDER LLC (NPI 1538058136) is a healthcare organization registered as an assisted living facility in Oakdale, Minnesota and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Feven T Hanns, Manager, as its authorized official.

NPPES Registry Identity

NPI1538058136
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAMEN HOME CARE PROVIDER LLC
Location Address6550 21ST ST NOakdale, MN 55128-4300
Mailing Address6550 21st St NOakdale, MN 55128-4300 · (651) 410-0418
Phone(651) 410-0418
Organization SubpartNo
Authorized OfficialFeven T HannsManager · (651) 410-0418
Enumeration DateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1538058136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6550 21ST ST N, Oakdale, MN 55128
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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 24D2331327

Amen Home Care Provider LLC · Oakdale, MN
Active · expires Sep 29, 2027
CLIA Number24D2331327
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorFeven T. Hanns
Laboratory Phone(651) 410-0418
Laboratory LocationAmen Home Care Provider LLC6550 21st Street North, Oakdale, MN 55128
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 Amen Home Care Provider LLC's NPI number?

The NPI number for Amen Home Care Provider LLC is 1538058136. It was assigned to this organization in the NPPES registry on June 30, 2025.

Where is Amen Home Care Provider LLC located?

Amen Home Care Provider LLC is located at 6550 21st St N, Oakdale, MN 55128. The listed phone number is (651) 410-0418.

What is Amen Home Care Provider LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Amen Home Care Provider LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2331327) is associated with this NPI, valid through September 29, 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 Amen Home Care Provider LLC was last updated on June 30, 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.