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WEL-LIFE AT SPIRIT LAKE
NPI 1063870152
Assisted Living Facility in Spirit Lake, IA

Active since February 03, 2016CLIA 16D1063152 · Waiver
1819 23RD ST, SPIRIT LAKE, IA 51360(712) 336-3553(712) 336-5717 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2019, Feb 3, 2016 (2 updates tracked since 2016).

About Wel-life At Spirit Lake NPPES

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

WEL-LIFE AT SPIRIT LAKE (NPI 1063870152) is a healthcare organization registered as an assisted living facility in Spirit Lake, Iowa and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Michael L. Moore, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1063870152
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKISMET SPL - A, LLC
Location Address1819 23RD STSpirit Lake, IA 51360-7096
Mailing Address1819 23rd StSpirit Lake, IA 51360-7096 · (712) 336-3553 · Fax (712) 336-5717
Phone(712) 336-3553
Fax(712) 336-5717
Organization SubpartNo
Authorized OfficialMichael L. MooreChief Financial Officer · (605) 642-7736
Enumeration DateFebruary 3, 2016
Last NPPES UpdateFebruary 27, 20192 updates tracked since enumeration
✔ NPI 1063870152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in IA · S0025
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.

1819 23RD ST, Spirit Lake, IA 51360
Open in Google Maps ↗

Other Names 1

Doing Business AsWel-life At Spirit Lake

Other Identifiers 1

Medicaid0404033IA

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 16D1063152

Wel-Life At Spirit Lake · Spirit Lake, IA
Active · expires Jan 7, 2027
CLIA Number16D1063152
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorAnita Vanden Brink
Laboratory Phone(712) 336-3553
Laboratory LocationWel-Life At Spirit Lake1819 23rd Street, Spirit Lake, IA 51360
CLIA data matches this NPI record on: Address Name Phone
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.

BROOKE HORSMAN OTD
Occupational Therapist
1819 23RD ST
SPIRIT LAKE, IA 51360
Dickinson County (712) 336-3553

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 Kismet Spl - A, LLC's NPI number?

The NPI number for Kismet Spl - A, LLC is 1063870152. It was assigned to this organization in the NPPES registry on February 3, 2016. The provider is doing business as Wel-Life At Spirit Lake.

Where is Kismet Spl - A, LLC located?

Kismet Spl - A, LLC is located at 1819 23rd St, Spirit Lake, IA 51360. The listed phone number is (712) 336-3553.

What is Kismet Spl - A, LLC's specialty?

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

Does Kismet Spl - A, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1063152) is associated with this NPI, valid through January 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 Kismet Spl - A, LLC was last updated on February 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.