Elicia Homecare Services LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ELICIA HOMECARE SERVICES LLC

Practice address

7100 Northland Cir N Ste 123
Brooklyn Park, MN 55428-1500

Phone

(612) 709-3880

Fax

(612) 454-2583

NPI assigned

Apr 4, 2023

Organization subpart

No

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

Authorized official

Name

Angelle Clermont Kanneh

Title

Executive Director

Phone

(612) 709-3880

Specialties & licenses 4

Addresses

Electronic endpoints 2

Tax ID family

Elicia Homecare Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elicia Homecare Services LLC

  • Clinic/Center
  • Brooklyn Park, MN
  • NPI 1215639877
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Boakai Musa Kanneh

  • Home Health Aide
  • Otsego, MN
  • NPI 1487333829
  NPD

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1679278949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 NORTHLAND CIR N STE 123",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281500",
            "telephone_number": "612-709-3880",
            "fax_number": "612-454-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 NORTHLAND CIR N STE 123",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281500",
            "telephone_number": "612-709-3880",
            "fax_number": "612-454-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELICIA HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "KANNEH",
        "authorized_official_first_name": "ANGELLE",
        "authorized_official_middle_name": "CLERMONT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-709-3880"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "251JoooooX",
            "affiliation": "N",
            "address_1": "12153 72nd St NE",
            "city": "Otsego",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553305064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "253Z00000X",
            "affiliation": "N",
            "address_1": "12153 72nd St NE",
            "city": "Otsego",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553305064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Elias Heath Care LLC
• Elicia Homecare Services LLC
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• Sharon Ellis
• Najma Elmi
• Emerging Journeys Collective PC
• Empire Care Systems, Inc.

• Nursing Care Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Nursing Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.