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GOSHEN CONCEPT CARE LLC
NPI 1922826387
Home Health in West St Paul, MN

Active since October 02, 2024CLIA 24D2329895 · Waiver
1352 CALUMET AVE, WEST ST PAUL, MN 55118(651) 500-0971 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Goshen Concept Care Llc NPPES

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

GOSHEN CONCEPT CARE LLC (NPI 1922826387) is a healthcare organization registered as a home health in West St Paul, Minnesota and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Emmanuel Temitope Adebayo, Owner, as its authorized official.

NPPES Registry Identity

NPI1922826387
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGOSHEN CONCEPT CARE LLC
Location Address1352 CALUMET AVEWest St Paul, MN 55118-2516
Mailing Address1352 Calumet AveWest St Paul, MN 55118-2516 · (651) 500-0971
Phone(651) 500-0971
Organization SubpartNo
Authorized OfficialEmmanuel Temitope AdebayoOwner · (651) 500-0971
Enumeration DateOctober 2, 2024
Last NPPES UpdateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1922826387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
1352 CALUMET AVE, West St Paul, MN 55118
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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 24D2329895

Goshen Concept Care LLC · West Saint Paul, MN
Active · expires Sep 7, 2027
CLIA Number24D2329895
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorEmmanuel T. Adebayo
Laboratory Phone(651) 500-0971
Laboratory LocationGoshen Concept Care LLC1352 Calumet Ave, West Saint Paul, MN 55118
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 Goshen Concept Care LLC's NPI number?

The NPI number for Goshen Concept Care LLC is 1922826387. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Goshen Concept Care LLC located?

Goshen Concept Care LLC is located at 1352 Calumet Ave, West St Paul, MN 55118. The listed phone number is (651) 500-0971.

What is Goshen Concept Care LLC's specialty?

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

Does Goshen Concept Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2329895) is associated with this NPI, valid through September 7, 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 Goshen Concept Care LLC was last updated on October 3, 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.