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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LEGACY OF THE MEADOWS, LLC
NPI 1164330585
Assisted Living Facility in De Witt, IA

Active since August 28, 2026CLIA 16D2317730 · Waiver
119 E 2ND ST, DE WITT, IA 52742(563) 676-0020(563) 265-8288 Get Directions Write a Review

NPPES record added: August 28, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Legacy Of The Meadows, Llc NPPES

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

LEGACY OF THE MEADOWS, LLC (NPI 1164330585) is a healthcare organization registered as an assisted living facility in De Witt, Iowa and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Gayle Holquist, Administrator And Owner, as its authorized official.

NPPES Registry Identity

NPI1164330585
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLEGACY OF THE MEADOWS, LLC
Location Address119 E 2ND STDe Witt, IA 52742-2140
Mailing AddressPo Box 197De Witt, IA 52742-0197 · (563) 676-0020 · Fax (563) 265-8288
Phone(563) 676-0020
Fax(563) 265-8288
Organization SubpartNo
Authorized OfficialGayle HolquistAdministrator And Owner · (563) 676-0020
Enumeration DateAugust 28, 2026
NPPES CertifiedAugust 28, 2026
✔ NPI 1164330585 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.
119 E 2ND ST, De Witt, IA 52742
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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 16D2317730

Legacy Of The Meadows · De Witt, IA
Active · expires Jan 29, 2027
CLIA Number16D2317730
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorMichelle A. Belk
Laboratory Phone(563) 659-6104
Laboratory LocationLegacy Of The Meadows119 E 2nd St, De Witt, IA 52742
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 Legacy Of The Meadows, LLC's NPI number?

The NPI number for Legacy Of The Meadows, LLC is 1164330585. It was assigned to this organization in the NPPES registry on August 28, 2026.

Where is Legacy Of The Meadows, LLC located?

Legacy Of The Meadows, LLC is located at 119 E 2nd St, De Witt, IA 52742. The listed phone number is (563) 676-0020.

What is Legacy Of The Meadows, LLC's specialty?

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

Does Legacy Of The Meadows, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2317730) is associated with this NPI, valid through January 29, 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 Legacy Of The Meadows, LLC was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.