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GRAND MEADOWS SENIOR LIVING
NPI 1003047200
Assisted Living Facility in Glencoe, MN

Active since August 05, 2009CLIA 24D1102760 · Waiver
1420 PRAIRIE AVE, GLENCOE, MN 55336(320) 864-5577 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Meadows Senior Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND MEADOWS SENIOR LIVING (NPI 1003047200) is a healthcare organization registered as an assisted living facility in Glencoe, Minnesota and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Howie Groff, President, as its authorized official.

NPPES Registry Identity

NPI1003047200
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRAND MEADOWS SENIOR LIVING
Location Address1420 PRAIRIE AVEGlencoe, MN 55336-4618
Mailing Address1420 Prairie AveGlencoe, MN 55336-4618
Phone(320) 864-5577
Organization SubpartNo
Authorized OfficialHowie GroffPresident · (952) 888-2923
Enumeration DateAugust 5, 2009
✔ NPI 1003047200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1420 PRAIRIE AVE, Glencoe, MN 55336
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D1102760

Grand Meadows · Glencoe, MN
Active · expires Jul 22, 2027
CLIA Number24D1102760
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorMikaylin Goetze
Laboratory Phone(320) 864-5577
Laboratory LocationGrand Meadows1420 Prairie Avenue, Glencoe, MN 55336
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Meadows Senior Living's NPI number?

The NPI number for Grand Meadows Senior Living is 1003047200. It was assigned to this organization in the NPPES registry on August 5, 2009.

Where is Grand Meadows Senior Living located?

Grand Meadows Senior Living is located at 1420 Prairie Ave, Glencoe, MN 55336. The listed phone number is (320) 864-5577.

What is Grand Meadows Senior Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Grand Meadows Senior Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1102760) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grand Meadows Senior Living was last updated on August 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.