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SENATIVE SERVICES LLC
NPI 1639713191
Home Health in Crystal, MN

Active since October 28, 2019CLIA 24D2231364 · Waiver
3513 KYLE AVE N, CRYSTAL, MN 55422(763) 400-4315 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2020, Oct 28, 2019 (2 updates tracked since 2019).

About Senative Services Llc NPPES

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

SENATIVE SERVICES LLC (NPI 1639713191) is a healthcare organization registered as a home health in Crystal, Minnesota and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through August 2, 2027, maintains a secondary practice location in Robbinsdale, and lists Ajibola Oladapo Ajayi, Owner, as its authorized official.

NPPES Registry Identity

NPI1639713191
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSENATIVE SERVICES LLC
Location Address3513 KYLE AVE NCrystal, MN 55422-2845
Mailing Address11541 Pineridge Way NDayton, MN 55327-2603 · (763) 400-4315
Phone(763) 400-4315
Organization SubpartNo
Authorized OfficialAjibola Oladapo AjayiOwner · (763) 222-9450
Enumeration DateOctober 28, 2019
Last NPPES UpdateOctober 22, 20202 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
✔ NPI 1639713191 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.
3513 KYLE AVE N, Crystal, MN 55422
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Secondary Practice Location 1

Location 13612 Perry Ave NRobbinsdale, MN 55422-2059 · Phone (763) 276-9971

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 24D2231364

Senative Services LLC · Champlin, MN
Active · expires Aug 2, 2027
CLIA Number24D2231364
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorAdeniyi A. Dawodu
Laboratory Phone(763) 400-4315
Laboratory LocationSenative Services LLC11406 Quebec Avenue North, Champlin, MN 55316
CLIA data matches this NPI record on: 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 Senative Services LLC's NPI number?

The NPI number for Senative Services LLC is 1639713191. It was assigned to this organization in the NPPES registry on October 28, 2019.

Where is Senative Services LLC located?

Senative Services LLC is located at 3513 Kyle Ave N, Crystal, MN 55422. The listed phone number is (763) 400-4315.

What is Senative Services LLC's specialty?

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

Does Senative Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2231364) is associated with this NPI, valid through August 2, 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 Senative Services LLC was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.