PRIME HOME SERVICES LLC
NPI 1902589401
Assisted Living Facility in Bloomington, MN
- Organization
- Assisted Living Facility
- CLIA Number: 24D2296701
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 01-03-2028
About PRIME HOME SERVICES LLC
This page provides the complete NPI Profile along with additional information for Prime Home Services Llc, a provider established in Bloomington, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1902589401 assigned on August 2023. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Mohamed Ali Ahmed (President/owner)
- NPI
- 1902589401 Verify this NPI
- Provider Name
- PRIME HOME SERVICES LLC
- Entity Type
- Organization
- Location Address
- 198 E 95TH STREET CIR BLOOMINGTON, MN 55420
- Location Phone
- (612) 807-7228
- Mailing Address
- 198 E 95TH STREET CIR BLOOMINGTON, MN 55420
- Mailing Phone
- (612) 807-7228
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-10-2023
- Last Update Date
- 08-10-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2296701
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- January 04, 2026
- Certificate Expiration Date
- January 03, 2028
- Laboratory Director
- HASSAN BULUF
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prime Home Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902589401, enumerated as an "organization" on August 10, 2023.
The provider is located at 198 E 95TH STREET CIR BLOOMINGTON, MN 55420 and the phone number is (612) 807-7228.
Assisted Living Facility with taxonomy code 310400000X.
