Organization Active NPI

Lennox Home Care LLC

  • Personal Care Attendant
  • Plymouth, MN
National Provider Identifier
1891668513
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
LENNOX HOME CARE LLC
Practice address
12625 42ND PL N
Plymouth, MN 55442-2349
Phone
(801) 702-6860
Fax
(801) 702-6860
NPI assigned
Sep 29, 2025
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Mohamed Abdirahman Samatar
Title
Owner/Manager
Phone
(801) 702-6860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

12625 42ND PL N
Plymouth, MN 55442-2349

Mailing address

12625 42ND PL N
Plymouth, MN 55442-2349
Phone (801) 702-6860

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1891668513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 42ND PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422349",
            "telephone_number": "801-702-6860",
            "fax_number": "801-702-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 42ND PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422349",
            "telephone_number": "801-702-6860",
            "fax_number": "801-702-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENNOX HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-28",
        "status": "A",
        "authorized_official_last_name": "SAMATAR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-702-6860"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.