Prime Living Mn LLC
NPI 1376496612 · Assisted Living Facility (Behavioral Disturbances) · Eagan, MN
Prime Living Mn LLC is a Assisted Living Facility (Behavioral Disturbances) organization in Eagan, MN (NPI 1376496612).
Provider details
- NPI number
- 1376496612
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mohamed I Mouhoumed, Owner(443) 310-0126
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-02-17
- Last updated
- 2026-02-17
- Certified
- 2026-02-17
Frequently asked questions
- What is Prime Living Mn LLC's NPI number?
- Prime Living Mn LLC's National Provider Identifier (NPI) is 1376496612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Living Mn LLC?
- Prime Living Mn LLC is classified in the NPPES registry as Assisted Living Facility (Behavioral Disturbances) (Nursing & Custodial Care Facilities).
- Where is Prime Living Mn LLC located?
- Prime Living Mn LLC's practice location on file with NPPES is 2110 Wuthering Heights Rd, Eagan, MN 55122-1028.
- What is Prime Living Mn LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Living Mn LLC is (443) 310-0126.
- Who is the authorized official for Prime Living Mn LLC?
- The authorized official listed on Prime Living Mn LLC's NPPES record is Mohamed I Mouhoumed, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Living Mn LLC's NPI active?
- Yes — Prime Living Mn LLC's NPI (1376496612) is active in the NPPES registry as of the last update on 2026-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.