Prime Living Mn LLC
Prime Living Mn LLC is a healthcare organization registered as Assisted Living Facility (Behavioral Disturbances) in Eagan, MN, holding Type 2 (organization) NPI 1376496612 since 2026. The authorized official on file is Mohamed I Mouhoumed, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376496612 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prime Living Mn LLC |
| Practice address | 2110 WUTHERING HEIGHTS RD, Eagan, MN, 55122 |
| Phone | 4433100126 |
| Enumeration date | 2026-02-17 |
| Last updated in NPPES | 2026-02-17 |
Authorized official
| Name | Mohamed I Mouhoumed |
|---|---|
| Title | Owner |
| Phone | 4433100126 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | Primary | — | — |
Copy-ready billing details
Provider: Prime Living Mn LLC NPI: 1376496612 Taxonomy: 3104A0630X (Assisted Living Facility (Behavioral Disturbances)) Address: 2110 WUTHERING HEIGHTS RD, Eagan, MN, 55122
Verify this record
Cross-check NPI 1376496612 against the authoritative CMS record: view Prime Living Mn LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Prime Living Mn LLC?
Who is the authorized official for Prime Living Mn LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-17.