1. Home
  2. Directory
  3. Minnesota
  4. Otsego
  5. Registered Nurse
  6. NPI Profile

HOME CARE MINNESOTA LLC
NPI 1881373223
Registered Nurse in Otsego, MN

Active since July 13, 2023
6126 RADFORD AVE NE, OTSEGO, MN 55330(612) 709-3880 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2025, Jul 13, 2023 (2 updates tracked since 2023).

About Home Care Minnesota Llc NPPES

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

HOME CARE MINNESOTA LLC (NPI 1881373223) is a healthcare organization registered as a registered nurse in Otsego, Minnesota and active in the NPI registry since July 2023. The organization lists Angelle Clermont Kanneh, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1881373223
Entity TypeOrganization
Primary Taxonomy163W00000X
Legal Business NameHOME CARE MINNESOTA LLC
Location Address6126 RADFORD AVE NEOtsego, MN 55330-2976
Mailing Address6126 Radford Ave NeOtsego, MN 55330-2976 · (612) 709-3880
Phone(612) 709-3880
Organization SubpartNo
Authorized OfficialAngelle Clermont KannehVice-president · (612) 709-3880
Enumeration DateJuly 13, 2023
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1881373223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
6126 RADFORD AVE NE, Otsego, MN 55330
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOME CARE MINNESOTA LLC
Home Health
6126 RADFORD AVE NE
OTSEGO, MN 55330
Sherburne County (612) 607-4152

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 Home Care Minnesota LLC's NPI number?

The NPI number for Home Care Minnesota LLC is 1881373223. It was assigned to this organization in the NPPES registry on July 13, 2023.

Where is Home Care Minnesota LLC located?

Home Care Minnesota LLC is located at 6126 Radford Ave NE, Otsego, MN 55330. The listed phone number is (612) 709-3880.

What is Home Care Minnesota LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Home Care Minnesota LLC was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.