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ARBOR LAKES SENIOR LIVING
NPI 1033415070
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Maple Grove, MN

Active since February 09, 2011CLIA Certified · 2 labs
12001 80TH AVENUE NORTH, MAPLE GROVE, MN 55369(763) 478-2141 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arbor Lakes Senior Living NPPES

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

ARBOR LAKES SENIOR LIVING (NPI 1033415070) is a healthcare organization registered as an assisted living, behavioral disturbances in Maple Grove, Minnesota and active in the NPI registry since February 2011. The organization holds 2 active CLIA laboratory certificates and lists Lance E Lemieux, President, as its authorized official.

NPPES Registry Identity

NPI1033415070
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameARBOR LAKES SENIOR LIVING
Location Address12001 80TH AVENUE NORTHMaple Grove, MN 55369
Mailing Address2285 Waters DrMendota Heights, MN 55120-1363 · (651) 454-4801
Phone(763) 478-2141
Organization SubpartNo
Authorized OfficialLance E LemieuxPresident · (651) 454-4801
Enumeration DateFebruary 9, 2011
✔ NPI 1033415070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
License✔ Licensed in MN · 349940
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
12001 80TH AVENUE NORTH, Maple Grove, MN 55369
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Other Identifiers 2

Other349940MN · Minnesota Department Of Health
Other349937MN · State Housing With Services

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 24D2015826

Arbor Lakes Senior Living · Maple Grove, MN
Active · expires Nov 4, 2026
CLIA Number24D2015826
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorLisa M. Lemieux
Laboratory Phone(763) 478-2141
Laboratory LocationArbor Lakes Senior Living12001 - 80th Avenue N, Maple Grove, MN 55369
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 24D2230076

Arbor Lakes Senior Living II · Maple Grove, MN
Active · expires Jul 19, 2027
CLIA Number24D2230076
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorLisa Lemieux
Laboratory Phone(763) 575-7021
Laboratory LocationArbor Lakes Senior Living II11955 80th Ave N, Maple Grove, MN 55369
CLIA data matches this NPI record on: 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 Arbor Lakes Senior Living's NPI number?

The NPI number for Arbor Lakes Senior Living is 1033415070. It was assigned to this organization in the NPPES registry on February 9, 2011.

Where is Arbor Lakes Senior Living located?

Arbor Lakes Senior Living is located at 12001 80th Avenue North, Maple Grove, MN 55369. The listed phone number is (763) 478-2141.

What is Arbor Lakes Senior Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Does Arbor Lakes Senior Living 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 Arbor Lakes Senior Living was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.