HOME FOR CREATIVE LIVING
NPI 1013072230
Intermediate Care Facility, Intellectual Disabilities in Windom, MN

Active since December 27, 2006CLIA 24D0405197 · Waiver
108 9TH ST, WINDOM, MN 56101(507) 831-5033(507) 831-2612 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Home For Creative Living NPPES

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

HOME FOR CREATIVE LIVING (NPI 1013072230) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Windom, Minnesota and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Devin Nelson, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1013072230
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameHOME FOR CREATIVE LIVING
Location Address108 9TH STWindom, MN 56101-1746
Mailing Address220 Milwaukee St Ste 2Lakefield, MN 56150-9495 · (507) 662-5236 · Fax (507) 662-5235
Fax(507) 831-2612
Organization SubpartNo
Authorized OfficialDevin NelsonChief Operating Officer · (507) 233-4400
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1013072230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in MN · 809491-1-RS
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
108 9TH ST, Windom, MN 56101

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 24D0405197

Home For Creative Living · Windom, MN
Active · expires Jul 21, 2027
CLIA Number24D0405197
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorLisa Magnuson
Laboratory Phone(507) 831-5036
Laboratory LocationHome For Creative Living108 9th Street, Windom, MN 56101
CLIA data matches this NPI record on: Address Name
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 Home For Creative Living's NPI number?

The NPI number for Home For Creative Living is 1013072230. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Home For Creative Living located?

Home For Creative Living is located at 108 9th St, Windom, MN 56101. The listed phone number is (507) 831-5033.

What is Home For Creative Living's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Home For Creative Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0405197) is associated with this NPI, valid through July 21, 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 Home For Creative Living was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.