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OKALEE OF MEDINA
NPI 1154943199
Assisted Living Facility in Medina, MN

Active since May 13, 2020CLIA 24D2171867 · Waiver
4350 CHIPPEWA CT, MEDINA, MN 55340(952) 855-5041 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2023, Jul 22, 2021, Jun 18, 2021 and 1 more (4 updates tracked since 2020).

About Okalee Of Medina NPPES

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

OKALEE OF MEDINA (NPI 1154943199) is a healthcare organization registered as an assisted living facility in Medina, Minnesota and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through September 9, 2027 and lists Madison Plove, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154943199
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLUNSKI DEVELOPMENT MEDINA LLC
Location Address4350 CHIPPEWA CTMedina, MN 55340-4013
Mailing Address4350 Chippewa CtMedina, MN 55340-4013
Phone(952) 855-5041
Organization SubpartNo
Authorized OfficialMadison PloveBusiness Office Manager · (763) 762-5402
Enumeration DateMay 13, 2020
Last NPPES UpdateMay 11, 20234 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1154943199 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.
4350 CHIPPEWA CT, Medina, MN 55340
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Other Names 1

Doing Business AsOkalee Of Medina

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 24D2171867

Okalee Of Medina · Medina, MN
Active · expires Sep 9, 2027
CLIA Number24D2171867
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorJessica Fudali
Laboratory Phone(763) 762-5400
Laboratory LocationOkalee Of Medina4350 Chippewa Ct C/O Director Of Health Services, Medina, MN 55340
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 Lunski Development Medina LLC's NPI number?

The NPI number for Lunski Development Medina LLC is 1154943199. It was assigned to this organization in the NPPES registry on May 13, 2020. The provider is doing business as Okalee Of Medina.

Where is Lunski Development Medina LLC located?

Lunski Development Medina LLC is located at 4350 Chippewa Ct, Medina, MN 55340. The listed phone number is (952) 855-5041.

What is Lunski Development Medina LLC's specialty?

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

Does Lunski Development Medina LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2171867) is associated with this NPI, valid through September 9, 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 Lunski Development Medina LLC was last updated on May 11, 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.