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GRACE HAVEN ASSISTED LIVING LLC
NPI 1043589799
Assisted Living Facility in Madison, MN

Active since December 27, 2011CLIA 24D1029221 · Waiver
301 E 3RD STREET, MADISON, MN 56256(320) 598-7557(320) 598-7558 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Haven Assisted Living Llc NPPES

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

GRACE HAVEN ASSISTED LIVING LLC (NPI 1043589799) is a healthcare organization registered as an assisted living facility in Madison, Minnesota and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Jennifer Lynn Gilyard, Manager, as its authorized official.

NPPES Registry Identity

NPI1043589799
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRACE HAVEN ASSISTED LIVING LLC
Location Address301 E 3RD STREETMadison, MN 56256
Mailing Address301 E 3rd StreetMadison, MN 56256 · (320) 598-7557 · Fax (320) 598-7558
Phone(320) 598-7557
Fax(320) 598-7558
Organization SubpartNo
Authorized OfficialJennifer Lynn GilyardManager · (320) 321-4067
Enumeration DateDecember 27, 2011
Last NPPES UpdateMarch 1, 2012
✔ NPI 1043589799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Licenses✔ Licensed in MN · 355863✔ Licensed in MN · 355864
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.
301 E 3RD STREET, Madison, MN 56256
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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 24D1029221

Grace Haven Assisted Living · Madison, MN
Active · expires Mar 28, 2028
CLIA Number24D1029221
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorDeborah L. Werner
Laboratory Phone(320) 321-4067
Laboratory LocationGrace Haven Assisted Living301 East 3rd Street, Madison, MN 56256
CLIA data matches this NPI record on: Address 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 Grace Haven Assisted Living LLC's NPI number?

The NPI number for Grace Haven Assisted Living LLC is 1043589799. It was assigned to this organization in the NPPES registry on December 27, 2011.

Where is Grace Haven Assisted Living LLC located?

Grace Haven Assisted Living LLC is located at 301 E 3rd Street, Madison, MN 56256. The listed phone number is (320) 598-7557.

What is Grace Haven Assisted Living LLC's specialty?

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

Does Grace Haven Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1029221) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Haven Assisted Living LLC was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.