PRECIOUS HEALTH SERVICES, LLC
NPI 1770239030
Assisted Living Facility in Saint Paul, MN

Active since February 25, 2022CLIA 24D2268917 · Waiver
1113 SUBURBAN AVE, SAINT PAUL, MN 55106(612) 461-8150 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Precious Health Services, Llc NPPES

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

PRECIOUS HEALTH SERVICES, LLC (NPI 1770239030) is a healthcare organization registered as an assisted living facility in Saint Paul, Minnesota and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through September 19, 2028 and lists Fardowsa Ismail, Owner, as its authorized official.

NPPES Registry Identity

NPI1770239030
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRECIOUS HEALTH SERVICES, LLC
Location Address1113 SUBURBAN AVESaint Paul, MN 55106
Mailing Address1113 Suburban AveSaint Paul, MN 55106 · (612) 461-8150
Organization SubpartNo
Authorized OfficialFardowsa IsmailOwner · (612) 461-8150
Enumeration DateFebruary 25, 2022
NPPES CertifiedFebruary 25, 2022
NPI 1770239030 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.
1113 SUBURBAN AVE, Saint Paul, MN 55106

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 24D2268917

Precious Health Services LLC · Saint Paul, MN
Active · expires Sep 19, 2028
CLIA Number24D2268917
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 20, 2026
Certificate Expiration DateSeptember 19, 2028
Laboratory DirectorFardowsa Ismail
Laboratory Phone(612) 461-8150
Laboratory LocationPrecious Health Services LLC1113 Suburban Ave, Saint Paul, MN 55106
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 Precious Health Services, LLC's NPI number?

The NPI number for Precious Health Services, LLC is 1770239030. It was assigned to this organization in the NPPES registry on February 25, 2022.

Where is Precious Health Services, LLC located?

Precious Health Services, LLC is located at 1113 Suburban Ave, Saint Paul, MN 55106. The listed phone number is (612) 461-8150.

What is Precious Health Services, LLC's specialty?

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

Does Precious Health Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2268917) is associated with this NPI, valid through September 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Precious Health Services, LLC was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.