Prime Home Alliance LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRIME HOME ALLIANCE LLC

Practice address

2305 Terrace Dr
Burnsville, MN 55337-2089

Phone

(612) 406-9629

NPI assigned

Aug 11, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amal Odawa

Title

Owner/Director/Administrator/RN

Phone

(612) 406-4957

Specialties & licenses 1

Addresses

Other names 1

• Prime Home Alliance LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1346125945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 TERRACE DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372089",
            "telephone_number": "612-406-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 TERRACE DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372089",
            "telephone_number": "612-406-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HOME ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "ODAWA",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR/ADMINISTRATOR/RN",
        "authorized_official_telephone_number": "612-406-4957"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Home Alliance LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Y Presley
• Prestige Health Care LLC
• Jeffrey J Price, DDS
• John Mark Prichard, PH.D.
• Laura Christine Prigge, AUD
• Prime Transportation LLC
• Tarah Pringle, PSYD, LP, LMFT
• Priority Health and Home Care
• Prnsc, LLC
• Catherine Bemis Proebstle, MSN RNCFNP

• Assisted Living Facility in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.