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LAKESHORE ASSISTED LIVING LLC
NPI 1033856166
Assisted Living Facility in Waseca, MN

Active since May 19, 2022
105 8TH ST NW, WASECA, MN 56093(507) 625-8741 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 13, 2022, May 19, 2022 (2 updates tracked since 2022).

About Lakeshore Assisted Living Llc NPPES

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

LAKESHORE ASSISTED LIVING LLC (NPI 1033856166) is a healthcare organization registered as an assisted living facility in Waseca, Minnesota and active in the NPI registry since May 2022. The organization lists Ian Rekant, Vp Of Rcm, as its authorized official.

NPPES Registry Identity

NPI1033856166
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAKESHORE ASSISTED LIVING LLC
Location Address105 8TH ST NWWaseca, MN 56093-1907
Mailing Address638 Southbend AveMankato, MN 56001-2168 · (507) 625-8741
Phone(507) 625-8741
Organization SubpartNo
Authorized OfficialIan RekantVp Of Rcm · (507) 203-1031
Enumeration DateMay 19, 2022
Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1033856166 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.
105 8TH ST NW, Waseca, MN 56093
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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 24D2265749

Lakeshore Assisted Living · Waseca, MN
Expired · Aug 1, 2026
CLIA Number24D2265749
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorMarlene Robran
Laboratory Phone(507) 835-4468
Laboratory LocationLakeshore Assisted Living105 8th St NW, Waseca, MN 56093
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LATHAM PLACE, LLC
Assisted Living Facility
105 8TH ST NW
WASECA, MN 56093
Waseca County (507) 835-2800

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 Lakeshore Assisted Living LLC's NPI number?

The NPI number for Lakeshore Assisted Living LLC is 1033856166. It was assigned to this organization in the NPPES registry on May 19, 2022.

Where is Lakeshore Assisted Living LLC located?

Lakeshore Assisted Living LLC is located at 105 8th St NW, Waseca, MN 56093. The listed phone number is (507) 625-8741.

What is Lakeshore Assisted Living LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lakeshore Assisted Living LLC was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.