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ANGEL CARE ASSISTED LIVING LLC
NPI 1619791928
Assisted Living Facility in Minneapolis, MN

Active since November 13, 2024CLIA 24D2319967 · Waiver
2227 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404(619) 808-6167(612) 500-4790 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angel Care Assisted Living Llc NPPES

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

ANGEL CARE ASSISTED LIVING LLC (NPI 1619791928) is a healthcare organization registered as an assisted living facility in Minneapolis, Minnesota and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Zamzam Abdi, Owner, as its authorized official.

NPPES Registry Identity

NPI1619791928
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameANGEL CARE ASSISTED LIVING LLC
Location Address2227 BLOOMINGTON AVEMinneapolis, MN 55404-3039
Mailing Address2227 Bloomington AveMinneapolis, MN 55404-3039 · (619) 808-6167 · Fax (612) 500-4790
Phone(619) 808-6167
Fax(612) 500-4790
Organization SubpartNo
Authorized OfficialZamzam AbdiOwner · (619) 808-6167
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1619791928 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.
2227 BLOOMINGTON AVE, Minneapolis, MN 55404
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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 24D2319967

Angel Care Assisted Living LLC · Minneapolis, MN
Active · expires Mar 10, 2027
CLIA Number24D2319967
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorZamzam A. Abdi
Laboratory Phone(619) 808-6767
Laboratory LocationAngel Care Assisted Living LLC2227 Bloomington Ave S, Minneapolis, MN 55404
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 Angel Care Assisted Living LLC's NPI number?

The NPI number for Angel Care Assisted Living LLC is 1619791928. It was assigned to this organization in the NPPES registry on November 13, 2024.

Where is Angel Care Assisted Living LLC located?

Angel Care Assisted Living LLC is located at 2227 Bloomington Ave, Minneapolis, MN 55404. The listed phone number is (619) 808-6167.

What is Angel Care Assisted Living LLC's specialty?

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

Does Angel Care Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2319967) is associated with this NPI, valid through March 10, 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 Angel Care Assisted Living LLC was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.