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MIDWEST GROUP HOME
NPI 1871193417
Assisted Living Facility in Columbia Heights, MN

Active since October 30, 2020CLIA 24D2216277 · Waiver
4232 5TH ST NE, COLUMBIA HEIGHTS, MN 55421(612) 205-4918 Get Directions Write a Review

NPPES record last updated: November 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Midwest Group Home NPPES

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

MIDWEST GROUP HOME (NPI 1871193417) is a healthcare organization registered as an assisted living facility in Columbia Heights, Minnesota and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Abdikadir M Hassan, Owner, as its authorized official.

NPPES Registry Identity

NPI1871193417
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMIDWEST GROUP HOME
Location Address4232 5TH ST NEColumbia Heights, MN 55421-2860
Mailing Address4232 5th St NeColumbia Heights, MN 55421-2860 · (612) 205-4918
Phone(612) 205-4918
Organization SubpartNo
Authorized OfficialAbdikadir M HassanOwner · (612) 205-4918
Enumeration DateOctober 30, 2020
Last NPPES UpdateNovember 1, 2020
NPPES CertifiedNovember 1, 2020
✔ NPI 1871193417 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.
4232 5TH ST NE, Columbia Heights, MN 55421
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Other Identifiers 1

Other395666MN · Minnesota Department Of Health

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 24D2216277

Midwest Group Home LLC · Columbia Heights, MN
Active · expires Mar 10, 2027
CLIA Number24D2216277
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorAbdulahi Hashi
Laboratory Phone(612) 205-4918
Laboratory LocationMidwest Group Home LLC4232 5th Street NE, Columbia Heights, MN 55421
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 Midwest Group Home's NPI number?

The NPI number for Midwest Group Home is 1871193417. It was assigned to this organization in the NPPES registry on October 30, 2020.

Where is Midwest Group Home located?

Midwest Group Home is located at 4232 5th St NE, Columbia Heights, MN 55421. The listed phone number is (612) 205-4918.

What is Midwest Group Home's specialty?

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

Does Midwest Group Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2216277) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midwest Group Home was last updated on November 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.