ELICIA HOMECARE SERVICES LLC – NPI #1215639877
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

ELICIA HOMECARE SERVICES LLC is an AHC clinic located in BROOKLYN PARK, MN. NPPES has assigned the NPI number 1215639877 to ELICIA HOMECARE SERVICES LLC on March 20, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Oct 29, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELICIA HOMECARE SERVICES LLC below.

NPI Profile for
ELICIA HOMECARE SERVICES LLC

NPI Number
1215639877
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELICIA HOMECARE SERVICES LLC
Primary location
7100 NORTHLAND CIR N STE 123
BROOKLYN PARK, MN 55428-1500
Phone: (612) 709-3880 Fax: (612) 454-2583
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANGELLE KANNEH
EXECUTIVE DIRECTOR
Phone: (612) 709-3880
Updated
Certification Date
Oct 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
347C00000X
- Private Vehicle
343900000X
- Non-emergency Medical Transport (VAN)
343800000X
- Secured Medical Transport (VAN)
342000000X
- Transportation Network Company
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
320800000X
- Community Based Residential Treatment Facility, Mental Illness
320700000X
- Residential Treatment Facility, Physical Disabilities
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3104A0630X
- Assisted Living Facility / Assisted Living, Behavioral Disturbances
3104A0625X
- Assisted Living Facility / Assisted Living, Mental Illness
310400000X
- Assisted Living Facility
253Z00000X
- In Home Supportive Care
251J00000X
- Nursing Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.