EBENEZER AT FAIRVIEW
NPI 1053589358
Assisted Living Facility in Red Wing, MN
About Ebenezer At Fairview NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBENEZER AT FAIRVIEW (NPI 1053589358) is a healthcare organization registered as an assisted living facility in Red Wing, Minnesota and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Lucy Boxrud, Housing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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 24D1069576
Fairview Woods Dba Deer Crest · Red Wing, MNFrequently 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 Fairview Woods's NPI number?
The NPI number for Fairview Woods is 1053589358. It was assigned to this organization in the NPPES registry on February 20, 2008. The provider is doing business as Ebenezer At Fairview.
Where is Fairview Woods located?
Fairview Woods is located at 470 Fairview Blvd, Red Wing, MN 55066. The listed phone number is (651) 267-5444.
What is Fairview Woods's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Fairview Woods hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D1069576) is associated with this NPI, valid through June 7, 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 Fairview Woods was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ebenezer At Fairview · NPI 1053589358
Assisted Living Facility organization in Red Wing, Minnesota. Organization record, active in the CMS NPPES registry since February 20, 2008.
## Identity
- **NPI:** 1053589358 (Entity type: Organization)
- **Enumerated:** February 20, 2008
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Fairview Woods
- **Organization subpart:** Yes (part of Ebenezer Society)
- **Authorized official:** Lucy Boxrud, HOUSING MANAGER
## Practice location
- **Address:** 470 FAIRVIEW BLVD, Red Wing, MN 55066-2862
- **Phone:** (651) 267-5444
## Record status
- **NPPES last updated:** February 20, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053589358) · Data from the CMS NPPES public registry.