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BEYOND SENIOR LIVING LLC
NPI 1003440124
Assisted Living Facility in Woodbury, MN

Active since February 27, 2020CLIA 24D2137366 · Waiver
6281 OAKWOOD RD, WOODBURY, MN 55125(651) 200-0857(651) 200-3084 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2022, Feb 27, 2020 (2 updates tracked since 2020).

About Beyond Senior Living Llc NPPES

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

BEYOND SENIOR LIVING LLC (NPI 1003440124), doing business as Beyond Senior Care Llc, is a healthcare organization registered as an assisted living facility in Woodbury, Minnesota and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Angelina Senam Sam, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003440124
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBEYOND SENIOR LIVING LLC
Location Address6281 OAKWOOD RDWoodbury, MN 55125-2020
Mailing Address6281 Oakwood RdWoodbury, MN 55125-2020 · (651) 493-3803 · Fax (651) 200-3082
Phone(651) 200-0857
Fax(651) 200-3084
Organization SubpartNo
Authorized OfficialAngelina Senam SamAdministrator · (651) 200-0857
Enumeration DateFebruary 27, 2020
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1003440124 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.
6281 OAKWOOD RD, Woodbury, MN 55125
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Other Names 1

Former Legal Business NameBeyond Senior Care Llc

Other Identifiers 1

Medicaid638925MN

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 24D2137366

Beyond Senior Living LLC · Woodbury, MN
Active · expires Sep 25, 2027
CLIA Number24D2137366
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorAngelina S. Sam
Laboratory Phone(651) 200-0857
Laboratory LocationBeyond Senior Living LLC6281 Oakwood Rd, Woodbury, MN 55125
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 2

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

ANGELINA SENAM SAM
Assisted Living Facility
6281 OAKWOOD RD
WOODBURY, MN 55125
Washington County (651) 200-0857
SAGEWOOD LLC
Assisted Living Facility
6281 OAKWOOD RD
WOODBURY, MN 55125
Washington County (651) 200-3082

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 Beyond Senior Living LLC's NPI number?

The NPI number for Beyond Senior Living LLC is 1003440124. It was assigned to this organization in the NPPES registry on February 27, 2020. The provider was formerly known as Beyond Senior Care LLC.

Where is Beyond Senior Living LLC located?

Beyond Senior Living LLC is located at 6281 Oakwood Rd, Woodbury, MN 55125. The listed phone number is (651) 200-0857.

What is Beyond Senior Living LLC's specialty?

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

Does Beyond Senior Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2137366) is associated with this NPI, valid through September 25, 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 Beyond Senior Living LLC was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.