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SUNSHINE ASSISTED LIVING SERVICES LLC
NPI 1720624810
Assisted Living Facility in Bloomington, MN

Active since November 23, 2019CLIA Certified · 2 labs
9540 COLUMBUS AVE S, BLOOMINGTON, MN 55420(952) 457-7992 Get Directions Write a Review

NPPES record last updated: November 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sunshine Assisted Living Services Llc NPPES

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

SUNSHINE ASSISTED LIVING SERVICES LLC (NPI 1720624810) is a healthcare organization registered as an assisted living facility in Bloomington, Minnesota and active in the NPI registry since November 2019. The organization holds 2 active CLIA laboratory certificates and lists Abdulahi Abdirahman, Owner, as its authorized official.

NPPES Registry Identity

NPI1720624810
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUNSHINE ASSISTED LIVING SERVICES LLC
Location Address9540 COLUMBUS AVE SBloomington, MN 55420
Mailing Address9540 Columbus Ave SBloomington, MN 55420 · (952) 457-7992
Phone(952) 457-7992
Organization SubpartNo
Authorized OfficialAbdulahi AbdirahmanOwner · (952) 457-7992
Enumeration DateNovember 23, 2019
✔ NPI 1720624810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
9540 COLUMBUS AVE S, Bloomington, MN 55420
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CLIA Laboratory Certificates CMS CLIA 2

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 24D2178443

Sunshine Assisted Living Services LLC · Bloomington, MN
Active · expires Feb 3, 2028
CLIA Number24D2178443
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorAbdulahi Abdirahman
Laboratory Phone(952) 457-7992
Laboratory LocationSunshine Assisted Living Services LLC9540 Columbus Ave South, Bloomington, MN 55420
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2283288

Sunshine Assisted Living LLC · Bloomington, MN
Active · expires Jun 5, 2027
CLIA Number24D2283288
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorNimcorise M. Hashi
Laboratory Phone(952) 831-1111
Laboratory LocationSunshine Assisted Living LLC9517 Chicago Ave S, Bloomington, MN 55420
CLIA data matches this NPI record on: 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 Sunshine Assisted Living Services LLC's NPI number?

The NPI number for Sunshine Assisted Living Services LLC is 1720624810. It was assigned to this organization in the NPPES registry on November 23, 2019.

Where is Sunshine Assisted Living Services LLC located?

Sunshine Assisted Living Services LLC is located at 9540 Columbus Ave S, Bloomington, MN 55420. The listed phone number is (952) 457-7992.

What is Sunshine Assisted Living Services LLC's specialty?

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

Does Sunshine Assisted Living Services LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sunshine Assisted Living Services LLC was last updated on November 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.