BENEDICTINE LIVING COMMUNITY OF SHAKOPEE LLC - NPI 1154988236 - Assisted Living Facility in Shakopee, MN

Q: What is Benedictine Living Community Of Shakopee LLC's specialty?

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

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About Benedictine Living Community Of Shakopee Llc NPPES

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

BENEDICTINE LIVING COMMUNITY OF SHAKOPEE LLC (NPI 1154988236) is a healthcare organization registered as an assisted living facility in Shakopee, Minnesota and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Pennie Viggiano, Vp, Home & Community Based Services, as its authorized official.

NPPES Registry Identity

NPI1154988236

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBENEDICTINE LIVING COMMUNITY OF SHAKOPEE LLC

Location Address1705 WINDERMERE WAYShakopee, MN 55379

Mailing Address1995 E Rum River Dr SCambridge, MN 55008-2656

Phone(651) 529-8788

Organization SubpartNo

Authorized OfficialPennie ViggianoVp, Home & Community Based Services · (651) 529-8788

Enumeration DateMay 23, 2019

✔ NPI 1154988236 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.

1705 WINDERMERE WAY, Shakopee, MN 55379

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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 24D2178387

Benedictine Living Community Of Shakopee · Shakopee, MN

Active · expires Feb 2, 2028

CLIA Number24D2178387

Laboratory TypeAssisted Living Facility

Certificate Effective DateFebruary 3, 2026

Certificate Expiration DateFebruary 2, 2028

Laboratory DirectorLeah Young

Laboratory Phone(952) 233-4489

Laboratory LocationBenedictine Living Community Of Shakopee1705 Windermere Way, Shakopee, MN 55379

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 Benedictine Living Community Of Shakopee LLC's NPI number?

The NPI number for Benedictine Living Community Of Shakopee LLC is 1154988236. It was assigned to this organization in the NPPES registry on May 23, 2019.

Where is Benedictine Living Community Of Shakopee LLC located?

Benedictine Living Community Of Shakopee LLC is located at 1705 Windermere Way, Shakopee, MN 55379. The listed phone number is (651) 529-8788.

What is Benedictine Living Community Of Shakopee LLC's specialty?

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

Does Benedictine Living Community Of Shakopee LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2178387) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Benedictine Living Community Of Shakopee LLC was last updated on May 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.