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SANCTUARY HEALTHCARE SERVICES LLC
NPI 1912416215
Home Health in New Brighton, MN

Active since September 29, 2017CLIA Certified · 3 labs
1623 SILVER LN, NEW BRIGHTON, MN 55112(763) 400-4430 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2019, Oct 23, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Sanctuary Healthcare Services Llc NPPES

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

SANCTUARY HEALTHCARE SERVICES LLC (NPI 1912416215) is a healthcare organization registered as a home health in New Brighton, Minnesota and active in the NPI registry since September 2017. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Oluwakemi Ajayi, Owner, as its authorized official.

NPPES Registry Identity

NPI1912416215
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSANCTUARY HEALTHCARE SERVICES LLC
Location Address1623 SILVER LNNew Brighton, MN 55112-7457
Mailing Address10910 Brittany Dr NChamplin, MN 55316-3834
Phone(763) 400-4430
Organization SubpartNo
Authorized OfficialOluwakemi AjayiOwner · (763) 439-8390
Enumeration DateSeptember 29, 2017
Last NPPES UpdateJuly 29, 20193 updates tracked since enumeration
✔ NPI 1912416215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MN · 381837
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1623 SILVER LN, New Brighton, MN 55112
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Secondary Practice Locations 2

Location 14211 78th Ct NBrooklyn Park, MN 55443-3433 · Phone (763) 400-4430
Location 2224 N Owasso BlvdShoreview, MN 55126-3074 · Phone (763) 400-4430

Other Identifiers 1

Other381837MN · Comprehensive Home Care License

CLIA Laboratory Certificates CMS CLIA 3

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 24D2166995

Sanctuary Healthcare Services LLC · Brooklyn Park, MN
Active · expires Jul 24, 2027
CLIA Number24D2166995
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorBusayo Okusanya
Laboratory Phone(763) 400-4430
Laboratory LocationSanctuary Healthcare Services LLC4211 78th Ct N, Brooklyn Park, MN 55443
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2273063

Sanctuary Healthcare Services LLC · New Brighton, MN
Active · expires Dec 5, 2026
CLIA Number24D2273063
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorBusayo Okusanya
Laboratory Phone(763) 400-4430
Laboratory LocationSanctuary Healthcare Services LLC1623 Silver Ln, New Brighton, MN 55112
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2149666

Sanctuary Healthcare Services LLC · New Brighton, MN
Active · expires Apr 19, 2027
CLIA Number24D2149666
Laboratory TypeHome Health Agency
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorBusayo Okusanya
Laboratory Phone(763) 400-4430
Laboratory LocationSanctuary Healthcare Services LLC941 Oakwood Drive, New Brighton, MN 55112
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 Sanctuary Healthcare Services LLC's NPI number?

The NPI number for Sanctuary Healthcare Services LLC is 1912416215. It was assigned to this organization in the NPPES registry on September 29, 2017.

Where is Sanctuary Healthcare Services LLC located?

Sanctuary Healthcare Services LLC is located at 1623 Silver Ln, New Brighton, MN 55112. The listed phone number is (763) 400-4430.

What is Sanctuary Healthcare Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Sanctuary Healthcare Services LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sanctuary Healthcare Services LLC was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.