Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elicia Homecare Services LLC

Organization Nursing Care Agency · NPI 1215639877

Elicia Homecare Services LLC is a Nursing Care Agency in Brooklyn Park, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
14
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7100 Northland Cir N Ste 123
Brooklyn Park, MN 55428-1500
Phone: (612) 709-3880
Fax: (612) 454-2583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Nursing Care Agency Taxonomy 251J00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Assisted Living Facility Taxonomy 310400000X
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Physical Disabilities Residential Treatment Facility Taxonomy 320700000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X
Transportation Network Company Taxonomy 342000000X
Secured Medical Transport (VAN) Taxonomy 343800000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Private Vehicle Taxonomy 347C00000X

Record details

NPI number1215639877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelle Kanneh — Executive Director · (612) 709-3880
NPI enumeratedMarch 20, 2023
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address7100 Northland Cir N Ste 123, Brooklyn Park, MN 55428-1500

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