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 1679278949

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
4
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

Nursing Care Agency (primary) Taxonomy 251J00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Assisted Living Facility Taxonomy 310400000X
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X

Record details

NPI number1679278949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelle Kanneh — Executive Director · (612) 709-3880
NPI enumeratedApril 4, 2023
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address7100 Northland Cir N Ste 123, Brooklyn Park, MN 55428-1500

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