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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AZALEA HOMES
NPI 1801501093
Assisted Living Facility in Champlin, MN

Active since January 23, 2023CLIA 24D2298167 · Waiver
11333 WELCOME AVE N, CHAMPLIN, MN 55316(763) 321-4417 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, May 31, 2026, Mar 30, 2026 and 1 more (4 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 an assisted living facility in Champlin, 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 Taxonomy310400000X
Legal Business NameAZALEA HOMES
Location Address11333 WELCOME AVE NChamplin, MN 55316-3445
Mailing Address5724 Pennsylvania Ave NCrystal, MN 55428 · (763) 321-4417
Phone(763) 321-4417
Organization SubpartNo
Authorized OfficialSiamah KannehCo-owner · (763) 273-0767
Enumeration DateJanuary 23, 2023
Last NPPES UpdateAugust 14, 20264 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1801501093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
11333 WELCOME AVE N, Champlin, MN 55316
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Other Names 1

Other NameAzalea Homes Llc

Secondary Practice Locations 2

Location 15857 Perry Ave NCrystal, MN 55429 · Phone (612) 702-0756
Location 25724 Pennsylvania Ave NCrystal, MN 55428-3328 · 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. The provider is also known as Azalea Homes LLC.

Where is Azalea Homes located?

Azalea Homes is located at 11333 Welcome Ave N, Champlin, MN 55316. The listed phone number is (763) 321-4417.

What is Azalea Homes's specialty?

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

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 August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.