PRIME HOME SERVICES LLC
NPI 1902589401
Assisted Living Facility in Bloomington, MN
About Prime Home Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME HOME SERVICES LLC (NPI 1902589401) is a healthcare organization registered as an assisted living facility in Bloomington, Minnesota and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Mohamed Ali Ahmed, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 24D2296701
Prime Home Services, LLC · Bloomington, MNFrequently 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 Prime Home Services LLC's NPI number?
The NPI number for Prime Home Services LLC is 1902589401. It was assigned to this organization in the NPPES registry on August 10, 2023.
Where is Prime Home Services LLC located?
Prime Home Services LLC is located at 198 E 95th Street Cir, Bloomington, MN 55420. The listed phone number is (612) 807-7228.
What is Prime Home Services LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Prime Home Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2296701) is associated with this NPI, valid through January 3, 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 Prime Home Services LLC was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Prime Home Services Llc · NPI 1902589401
Assisted Living Facility organization in Bloomington, Minnesota. Organization record, active in the CMS NPPES registry since August 10, 2023.
## Identity
- **NPI:** 1902589401 (Entity type: Organization)
- **Enumerated:** August 10, 2023
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Mohamed Ahmed, PRESIDENT/OWNER
## Practice location
- **Address:** 198 E 95TH STREET CIR, Bloomington, MN 55420-4406
- **Phone:** (612) 807-7228
## Record status
- **NPPES last updated:** August 10, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902589401) · Data from the CMS NPPES public registry.