ARBOR PARK VILLAGE, LLC
NPI 1073749040
Assisted Living Facility in Moorhead, MN

Active since June 04, 2009
520 28TH ST N, MOORHEAD, MN 56560(218) 359-9999(218) 359-0890 Get Directions Write a Review

NPPES record last updated: June 4, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Arbor Park Village, Llc NPPES

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

ARBOR PARK VILLAGE, LLC (NPI 1073749040) is a healthcare organization registered as an assisted living facility in Moorhead, Minnesota and active in the NPI registry since June 2009. The organization lists Susan Bala, President, as its authorized official.

NPPES Registry Identity

NPI1073749040
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameARBOR PARK VILLAGE, LLC
Location Address520 28TH ST NMoorhead, MN 56560-2441
Mailing Address520 28th St NMoorhead, MN 56560-2441 · (218) 359-9999 · Fax (218) 359-0890
Fax(218) 359-0890
Organization SubpartNo
Authorized OfficialSusan BalaPresident · (218) 359-9999
Enumeration DateJune 4, 2009
NPI 1073749040 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 MN · 343693
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.

520 28TH ST N, Moorhead, MN 56560

CLIA Laboratory Certificates CMS CLIA 3

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 24D2075273

Arbor Park Living Center · Moorhead, MN
Expired · Mar 24, 2026
CLIA Number24D2075273
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 25, 2024
Certificate Expiration DateMarch 24, 2026
Laboratory DirectorSusan Bala
Laboratory Phone(218) 359-9999
Laboratory LocationArbor Park Living Center520 28th St N, Moorhead, MN 56560
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2075271

Arbor Park Living Center · Moorhead, MN
Expired · Mar 24, 2026
CLIA Number24D2075271
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 25, 2024
Certificate Expiration DateMarch 24, 2026
Laboratory DirectorSusan Bala
Laboratory Phone(218) 359-9999
Laboratory LocationArbor Park Living Center2901 6th Ave North, Moorhead, MN 56560
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2178799

Arbor Park Living Center · Moorhead, MN
Expired · Feb 9, 2026
CLIA Number24D2178799
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 10, 2024
Certificate Expiration DateFebruary 9, 2026
Laboratory DirectorSusan Bala
Laboratory Phone(218) 359-9999
Laboratory LocationArbor Park Living Center2941 6th Ave N, Moorhead, MN 56560
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073749040, enumerated as an "organization" on June 04, 2009.

The provider is located at 520 28TH ST N MOORHEAD, MN 56560 and the phone number is (218) 359-9999.

Assisted Living Facility with taxonomy code 310400000X.