Elicia Homecare Services Llc

LBN: Elicia Homecare Services Llc
Elicia Homecare Services Llc is an health care organization with primary practice located at 12153 72Nd St Ne , Otsego MN 55330-5064. The organization recently has 12 registered licenses in different health care specialties including Agencies / Nursing Care, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Secured Medical Transport (VAN), Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Elicia Homecare Services Llc can be contacted via phone (612) 709-3880, or through Kanneh, Angelle Clermont via phone (612) 709-3880.

Contact Information

Primary practice address
12153 72Nd St Ne Otsego MN 55330-5064
Phone: (612) 709-3880
Fax: (612) 454-2583
Website:
Map and Directions
Authorized official contact:
Name: Kanneh, Angelle Clermont
Phone: (612) 709-3880

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Transportation Services / Secured Medical Transport (VAN) 343800000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Private Vehicle 347C00000X

Profile Details

NPI number 1215639877
LBN Legal business name Elicia Homecare Services Llc
DBA Doing business as
Authorized official Kanneh, Angelle Clermont
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2023
Last updated May 21st, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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