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LUXE HOME RESIDENTIAL SERVICES LLC
NPI 1891512901
Assisted Living Facility in Minneapolis, MN

Active since September 21, 2024CLIA 24D2325949 · Waiver
1144 36 1/2 AVE NE, MINNEAPOLIS, MN 55418(612) 404-6590 Get Directions Write a Review

NPPES record last updated: September 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luxe Home Residential Services Llc NPPES

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

LUXE HOME RESIDENTIAL SERVICES LLC (NPI 1891512901) is a healthcare organization registered as an assisted living facility in Minneapolis, Minnesota and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Saleban M Omar, Mananger, as its authorized official.

NPPES Registry Identity

NPI1891512901
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLUXE HOME RESIDENTIAL SERVICES LLC
Location Address1144 36 1/2 AVE NEMinneapolis, MN 55418-1303
Mailing Address1144 36 1/2 Ave NeMinneapolis, MN 55418-1303 · (612) 404-6590
Phone(612) 404-6590
Organization SubpartNo
Authorized OfficialSaleban M OmarMananger · (612) 404-6590
Enumeration DateSeptember 21, 2024
NPPES CertifiedSeptember 21, 2024
✔ NPI 1891512901 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.
1144 36 1/2 AVE NE, Minneapolis, MN 55418
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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 24D2325949

Luxe Home Residential Services LLC · Minneapolis, MN
Active · expires Jun 23, 2027
CLIA Number24D2325949
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorAmal Mohamud
Laboratory Phone(612) 404-6590
Laboratory LocationLuxe Home Residential Services LLC1144 361/2 Ave NE, Minneapolis, MN 55418
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

QUALITY GROUP HOMES, LLC
Assisted Living Facility
1144 36 1/2 AVE NE
MINNEAPOLIS, MN 55418
Hennepin County (612) 446-5217

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 Luxe Home Residential Services LLC's NPI number?

The NPI number for Luxe Home Residential Services LLC is 1891512901. It was assigned to this organization in the NPPES registry on September 21, 2024.

Where is Luxe Home Residential Services LLC located?

Luxe Home Residential Services LLC is located at 1144 36 1/2 Ave NE, Minneapolis, MN 55418. The listed phone number is (612) 404-6590.

What is Luxe Home Residential Services LLC's specialty?

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

Does Luxe Home Residential Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2325949) is associated with this NPI, valid through June 23, 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 Luxe Home Residential Services LLC was last updated on September 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.