AZALEA HOMES
NPI 1801501093
Home Health in Crystal, MN

Active since January 23, 2023CLIA 24D2298167 · Waiver
5724 PENNSYLVANIA AVE N, CRYSTAL, MN 55428(763) 321-4417 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 31, 2026, Mar 30, 2026, Jan 23, 2023 (3 updates tracked since 2023).

About Azalea Homes NPPES

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

AZALEA HOMES (NPI 1801501093) is a healthcare organization registered as a home health in Crystal, Minnesota and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through January 29, 2028, maintains 2 additional practice locations, and lists Siamah Kanneh, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1801501093
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameAZALEA HOMES
Location Address5724 PENNSYLVANIA AVE NCrystal, MN 55428-3328
Mailing Address5724 Pennsylvania Ave NCrystal, MN 55428 · (763) 321-4417
Organization SubpartNo
Authorized OfficialSiamah KannehCo-owner · (763) 273-0767
Enumeration DateJanuary 23, 2023
Last NPPES UpdateJune 11, 20263 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
NPI 1801501093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedAssisted Living FacilityTaxonomy 310400000X
5724 PENNSYLVANIA AVE N, Crystal, MN 55428

Other Names 1

Other NameAzalea Homes Llc

Secondary Practice Locations 2

Location 15857 Perry Ave NCrystal, MN 55429 · Phone (612) 702-0756
Location 211333 Welcome Ave NChamplin, MN 55316-3445 · Phone (763) 321-4417

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 24D2298167

Azalea Homes LLC · Crystal, MN
Active · expires Jan 29, 2028
CLIA Number24D2298167
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorMohammed J. Kromah
Laboratory Phone(763) 321-4417
Laboratory LocationAzalea Homes LLC5857 Perry Ave N, Crystal, MN 55429
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 Azalea Homes's NPI number?

The NPI number for Azalea Homes is 1801501093. It was assigned to this organization in the NPPES registry on January 23, 2023.

Where is Azalea Homes located?

Azalea Homes is located at 5724 Pennsylvania Ave N, Crystal, MN 55428. The listed phone number is (763) 321-4417.

What is Azalea Homes's specialty?

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

Does Azalea Homes hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2298167) is associated with this NPI, valid through January 29, 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 Azalea Homes was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.