Active NPI
Lenox Homes LLC
- Assisted Living Facility
- St Louis Park, MN
National Provider Identifier
1245042589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- LENOX HOMES LLC
- Practice address
- 2624 Xylon Ave S
St Louis Park, MN 55426-2473 - Phone
- (801) 702-6860
- NPI assigned
- Jan 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed Abdirahman Samatar
- Title
- Manager
- Phone
- (801) 702-6860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2624 Xylon Ave S
St Louis Park, MN 55426-2473
Mailing address
2624 Xylon Ave S
St Louis Park, MN 55426-2473
Phone (801) 702-6860
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2331637 | Lenox Homes LLC | Certificate of waiver | Oct 5, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1245042589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 XYLON AVE S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554262473",
"telephone_number": "801-702-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2624 XYLON AVE S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554262473",
"telephone_number": "801-702-6860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LENOX HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-23",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "SAMATAR",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "ABDIRAHMAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "801-702-6860"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.