Amen Home Care Provider LLC
Organization Active NPI Assisted Living Facility · Oakdale, MN
NPI 1538058136 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1538058136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- AMEN HOME CARE PROVIDER LLC
- Practice address
- 6550 21St St N
Oakdale, MN 55128-4300 - Phone
- (651) 410-0418
- NPI assigned
- Jun 30, 2025
- Organization subpart
- No
Authorized official
- Name
- Feven T Hanns
- Title
- Manager
- Phone
- (651) 410-0418
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2331327 | Amen Home Care Provider LLC | Certificate of waiver | Sep 29, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
6550 21St St N
Oakdale, MN 55128-4300
Mailing address
6550 21St St N
Oakdale, MN 55128-4300
Phone (651) 410-0418
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All providers in Oakdale, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.