MISSION GROUP HOME LLC
NPI 1902428287
Home Health Aide in Hopkins, MN

Q: What is Mission Group Home LLC's NPI number?

The NPI number for Mission Group Home LLC is 1902428287. It was assigned to this organization in the NPPES registry on May 10, 2020.

Q: What is Mission Group Home LLC's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Active since May 10, 2020CLIA 24D2207504 · Waiver

730 N VAN BUREN WAY, HOPKINS, MN 55343(507) 210-5357 Get Directions Write a Review

NPPES record last updated: May 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mission Group Home Llc NPPES

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

MISSION GROUP HOME LLC (NPI 1902428287) is a healthcare organization registered as a home health aide in Hopkins, Minnesota and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Mohamed Ahmed Hassan, Owner, as its authorized official.

NPPES Registry Identity

NPI1902428287

Entity TypeOrganization

Primary Taxonomy374U00000X

Legal Business NameMISSION GROUP HOME LLC

Location Address730 N VAN BUREN WAYHopkins, MN 55343-8145

Mailing Address730 N Van Buren WayHopkins, MN 55343-8145 · (507) 210-5357

Phone(507) 210-5357

Organization SubpartNo

Authorized OfficialMohamed Ahmed HassanOwner · (507) 210-5357

Enumeration DateMay 10, 2020

NPPES CertifiedMay 10, 2020

✔ NPI 1902428287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

730 N VAN BUREN WAY, Hopkins, MN 55343

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 24D2207504

Mission Group Home LLC · Brooklyn Center, MN

Active · expires Dec 28, 2026

CLIA Number24D2207504

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 29, 2024

Certificate Expiration DateDecember 28, 2026

Laboratory DirectorMohamed Hassan

Laboratory Phone(507) 210-5357

Laboratory LocationMission Group Home LLC6730 Ewing Ave N, Brooklyn Center, MN 55429

CLIA data matches this NPI record on: 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 Mission Group Home LLC's NPI number?

The NPI number for Mission Group Home LLC is 1902428287. It was assigned to this organization in the NPPES registry on May 10, 2020.

Where is Mission Group Home LLC located?

Mission Group Home LLC is located at 730 N Van Buren Way, Hopkins, MN 55343. The listed phone number is (507) 210-5357.

What is Mission Group Home LLC's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Does Mission Group Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2207504) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mission Group Home LLC was last updated on May 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.