SUITE LIVING SENIOR CARE OF EDEN PRAIRIE
NPI 1154016970
Assisted Living Facility in Eden Prairie, MN

Active since April 07, 2023CLIA 24D2296091 · Waiver
9360 HENNEPIN TOWN RD, EDEN PRAIRIE, MN 55347(651) 770-2273 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Suite Living Senior Care Of Eden Prairie NPPES

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

SUITE LIVING SENIOR CARE OF EDEN PRAIRIE (NPI 1154016970) is a healthcare organization registered as an assisted living facility in Eden Prairie, Minnesota and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists Audrey Mcelwain, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1154016970
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUITE LIVING SENIOR CARE OF EDEN PRAIRIE
Location Address9360 HENNEPIN TOWN RDEden Prairie, MN 55347-3072
Mailing Address1824 Buerkle RdWhite Bear Lake, MN 55110-5245 · (651) 770-2273 · Fax (651) 666-1975
Organization SubpartNo
Authorized OfficialAudrey McelwainDirector Of Operations · (651) 770-2273
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
NPI 1154016970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
9360 HENNEPIN TOWN RD, Eden Prairie, MN 55347

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 24D2296091

Suite Living Senior Care Of Eden Prairie · Eden Prairie, MN
Active · expires Dec 20, 2027
CLIA Number24D2296091
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorMichele M. Nyarecha
Laboratory Phone(952) 693-0130
Laboratory LocationSuite Living Senior Care Of Eden Prairie9360 Hennepin Town Road, Eden Prairie, MN 55347
CLIA data matches this NPI record on: Address Name
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 Suite Living Senior Care Of Eden Prairie's NPI number?

The NPI number for Suite Living Senior Care Of Eden Prairie is 1154016970. It was assigned to this organization in the NPPES registry on April 7, 2023.

Where is Suite Living Senior Care Of Eden Prairie located?

Suite Living Senior Care Of Eden Prairie is located at 9360 Hennepin Town Rd, Eden Prairie, MN 55347. The listed phone number is (651) 770-2273.

What is Suite Living Senior Care Of Eden Prairie's specialty?

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

Does Suite Living Senior Care Of Eden Prairie hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2296091) is associated with this NPI, valid through December 20, 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 Suite Living Senior Care Of Eden Prairie was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.