SHEKKY CARE SERVICES PROFESSIONAL CORPORATION
NPI 1700652880
Assisted Living Facility - Assisted Living, Mental Illness in St Paul Park, MN

Active since November 29, 2023CLIA 24D2314030 · Waiver
1160 CHICAGO AVE, ST PAUL PARK, MN 55071(651) 210-9638 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shekky Care Services Professional Corporation NPPES

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

SHEKKY CARE SERVICES PROFESSIONAL CORPORATION (NPI 1700652880) is a healthcare organization registered as an assisted living, mental illness in St Paul Park, Minnesota and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Olugbenga Olalelekan Banjo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700652880
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameSHEKKY CARE SERVICES PROFESSIONAL CORPORATION
Location Address1160 CHICAGO AVESt Paul Park, MN 55071-1344
Mailing Address1160 Chicago AveSt Paul Park, MN 55071-1344 · (651) 210-9638
Organization SubpartNo
Authorized OfficialOlugbenga Olalelekan BanjoCeo · (651) 210-9638
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1700652880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
1160 CHICAGO AVE, St Paul Park, MN 55071

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 24D2314030

Shekky Care Services · St Paul Park, MN
Active · expires Nov 11, 2026
CLIA Number24D2314030
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorJanet Odeku
Laboratory Phone(651) 999-9563
Laboratory LocationShekky Care Services1160 Chicago Ave, St Paul Park, MN 55071
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
1160 CHICAGO AVE
ST PAUL PARK, MN 55071

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 Shekky Care Services Professional Corporation's NPI number?

The NPI number for Shekky Care Services Professional Corporation is 1700652880. It was assigned to this organization in the NPPES registry on November 29, 2023.

Where is Shekky Care Services Professional Corporation located?

Shekky Care Services Professional Corporation is located at 1160 Chicago Ave, St Paul Park, MN 55071. The listed phone number is (651) 210-9638.

What is Shekky Care Services Professional Corporation's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Shekky Care Services Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2314030) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shekky Care Services Professional Corporation was last updated on November 29, 2023. 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.