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BENEDICTINE LIVING COMMUNITY OF MORA
NPI 1003425075
Home Health in Mora, MN

Active since July 27, 2020CLIA 24D0398333 · Waiver

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benedictine Living Community Of Mora NPPES

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

BENEDICTINE LIVING COMMUNITY OF MORA (NPI 1003425075), doing business as St. Clare Home Health, is a healthcare organization registered as a home health in Mora, Minnesota and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jennifer Gleason, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1003425075
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameBENEDICTINE LIVING COMMUNITY OF MORA
Location Address110 7TH ST NMora, MN 55051-1110
Mailing Address110 7th St NMora, MN 55051-1110 · (320) 679-1411
Phone(320) 679-1411
Organization SubpartNo
Authorized OfficialJennifer GleasonChief Operating Officer · (763) 231-0410
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1003425075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
110 7TH ST N, Mora, MN 55051
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Other Names 1

Doing Business AsSt. Clare Home Health

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 24D0398333

Benedictine Living Community Of Mora Dba St Clare Living Community Of Mora · Mora, MN
Active · expires Aug 31, 2026
CLIA Number24D0398333
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJenny Peterson
Laboratory Phone(320) 679-1411
Laboratory LocationBenedictine Living Community Of Mora Dba St Clare Living Community Of Mora110 7th Street North, Mora, MN 55051
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMI MARIE ROOTKIE LPT
Physical Therapist
110 7TH ST N
MORA, MN 55051
Kanabec County (320) 679-1411
LONG TERM HEALTH CARE ASSOCIATES INC
Skilled Nursing Facility
110 7TH ST N
MORA, MN 55051
Kanabec County (320) 679-1411
LIVING SERVICES FOUNDATION/MORA, LLC
Skilled Nursing Facility
110 7TH ST N
MORA, MN 55051
Kanabec County (320) 679-1411
BENEDICTINE LIVING COMMUNITY OF MORA
Skilled Nursing Facility
110 7TH ST N
MORA, MN 55051
Kanabec County (320) 679-1411

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 Benedictine Living Community Of Mora's NPI number?

The NPI number for Benedictine Living Community Of Mora is 1003425075. It was assigned to this organization in the NPPES registry on July 27, 2020. The provider is doing business as St. Clare Home Health.

Where is Benedictine Living Community Of Mora located?

Benedictine Living Community Of Mora is located at 110 7th St N, Mora, MN 55051. The listed phone number is (320) 679-1411.

What is Benedictine Living Community Of Mora's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Benedictine Living Community Of Mora hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0398333) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Benedictine Living Community Of Mora was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.