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CHAMPIONS VILLAGE II, LLC
NPI 1013860303
Assisted Living Facility in Brooklyn Park, MN

Active since February 17, 2026CLIA Certified · 2 labs
8001 82ND AVE N, BROOKLYN PARK, MN 55445(612) 817-5100(612) 500-4677 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Champions Village Ii, Llc NPPES

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

CHAMPIONS VILLAGE II, LLC (NPI 1013860303) is a healthcare organization registered as an assisted living facility in Brooklyn Park, Minnesota and active in the NPI registry since February 2026. The organization holds 2 active CLIA laboratory certificates and lists Lali Galan, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1013860303
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCHAMPIONS VILLAGE II, LLC
Location Address8001 82ND AVE NBrooklyn Park, MN 55445-2434
Mailing Address15570 59th Ave NPlymouth, MN 55446-3695 · (612) 817-5100 · Fax (612) 500-4677
Phone(612) 817-5100
Fax(612) 500-4677
Organization SubpartNo
Authorized OfficialLali GalanPresident/ceo · (612) 817-5100
Enumeration DateFebruary 17, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1013860303 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.
8001 82ND AVE N, Brooklyn Park, MN 55445
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CLIA Laboratory Certificates CMS CLIA 2

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 24D2344740

Champions Village II LLC · Brooklyn Park, MN
Active · expires May 27, 2028
CLIA Number24D2344740
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorLali Galan
Laboratory Phone(612) 817-5100
Laboratory LocationChampions Village II LLC8001 82nd Ave North, Brooklyn Park, MN 55445
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2213426

Champions Village LLC · Fridley, MN
Active · expires Feb 11, 2027
CLIA Number24D2213426
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorLali Y. Galan
Laboratory Phone(612) 817-5100
Laboratory LocationChampions Village LLC7899 Alden Way NE, Fridley, MN 55432
CLIA data matches this NPI record on: 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 Champions Village II, LLC's NPI number?

The NPI number for Champions Village II, LLC is 1013860303. It was assigned to this organization in the NPPES registry on February 17, 2026.

Where is Champions Village II, LLC located?

Champions Village II, LLC is located at 8001 82nd Ave N, Brooklyn Park, MN 55445. The listed phone number is (612) 817-5100.

What is Champions Village II, LLC's specialty?

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

Does Champions Village II, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Champions Village II, LLC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.