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 4 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. Agencies / Nursing Care 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

Profile Details

NPI number 1679278949
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 Apr 4th, 2023
Last updated Apr 4th, 2023 - about 3 years 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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