NPI Lens

Elicia Homecare Services LLC

NPI 1215639877ActiveOrganization· Clinic/Center· Brooklyn Park, MN

Clinic/Center in Brooklyn Park, Minnesota, registered in NPPES in March 2023. The authorized official on file is Angelle Clermont Kanneh, Executive Director.

Overview

NPI1215639877
StatusActive
Entity typeOrganization
NPI issuedMar 20, 2023
Last updated in NPPESOct 29, 2025
Certified by providerOct 29, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——
Nursing Care251J00000X——
In Home Supportive Care253Z00000X——
Assisted Living Facility310400000X——
Assisted Living Facility, Assisted Living, Mental Illness3104A0625X——
Assisted Living Facility, Assisted Living, Behavioral Disturbances3104A0630X——
Residential Treatment Facility, Intellectual and/or Developmental Disabilities320600000X——
Residential Treatment Facility, Physical Disabilities320700000X——
Community Based Residential Treatment Facility, Mental Illness320800000X——
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities320900000X——
Transportation Network Company342000000X——
Secured Medical Transport (VAN)343800000X——
Non-emergency Medical Transport (VAN)343900000X——
Private Vehicle347C00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Brooklyn Park

All Clinic/Center providers in Minnesota →