OWATONNA SENIOR LIVING COMMUNITY LLC
NPI 1144964602
Assisted Living Facility in Owatonna, MN
About Owatonna Senior Living Community Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OWATONNA SENIOR LIVING COMMUNITY LLC (NPI 1144964602) is a healthcare organization registered as an assisted living facility in Owatonna, Minnesota and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Cory Wake, Authorized Representative, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 24D2314700
Owatonna Senior Living Communities LLC · Owatonna, 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 Owatonna Senior Living Community LLC's NPI number?
The NPI number for Owatonna Senior Living Community LLC is 1144964602. It was assigned to this organization in the NPPES registry on April 21, 2022.
Where is Owatonna Senior Living Community LLC located?
Owatonna Senior Living Community LLC is located at 1212 W Frontage Rd, Owatonna, MN 55060. The listed phone number is (507) 451-0722.
What is Owatonna Senior Living Community LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Owatonna Senior Living Community LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2314700) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Owatonna Senior Living Community LLC was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Owatonna Senior Living Community Llc · NPI 1144964602
Assisted Living Facility organization in Owatonna, Minnesota. Organization record, active in the CMS NPPES registry since April 21, 2022.
## Identity
- **NPI:** 1144964602 (Entity type: Organization)
- **Enumerated:** April 21, 2022
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Cory Wake, AUTHORIZED REPRESENTATIVE
## Practice location
- **Address:** 1212 W FRONTAGE RD, Owatonna, MN 55060-5692
- **Phone:** (507) 451-0722
## Record status
- **NPPES last updated:** April 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144964602) · Data from the CMS NPPES public registry.