EMERALD WINGS HOSPICE LLC
NPI 1194597005
Hospice Care, Community Based in Saint Paul, MN

Active since October 24, 2023CLIA 24D2303268 · Waiver
889 GRAND AVE # 201, SAINT PAUL, MN 55105(320) 232-9325 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emerald Wings Hospice Llc NPPES

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

EMERALD WINGS HOSPICE LLC (NPI 1194597005) is a healthcare organization registered as a hospice care, community based in Saint Paul, Minnesota and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through April 22, 2028 and lists Shelly Sowada, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1194597005
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameEMERALD WINGS HOSPICE LLC
Location Address889 GRAND AVE # 201Saint Paul, MN 55105-3008
Mailing Address889 Grand Ave # 201Saint Paul, MN 55105-3008 · (320) 232-9325
Organization SubpartNo
Authorized OfficialShelly SowadaOwner/president · (320) 232-9325
Enumeration DateOctober 24, 2023
NPPES CertifiedOctober 24, 2023
NPI 1194597005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
889 GRAND AVE # 201, Saint Paul, MN 55105

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 24D2303268

Emerald Wings Hospice LLC · Saint Paul, MN
Active · expires Apr 22, 2028
CLIA Number24D2303268
Laboratory TypeHospice
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorBrooke Ekland
Laboratory Phone(763) 269-9906
Laboratory LocationEmerald Wings Hospice LLC889 Grand Ave # 201, Saint Paul, MN 55105
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 Emerald Wings Hospice LLC's NPI number?

The NPI number for Emerald Wings Hospice LLC is 1194597005. It was assigned to this organization in the NPPES registry on October 24, 2023.

Where is Emerald Wings Hospice LLC located?

Emerald Wings Hospice LLC is located at 889 Grand Ave # 201, Saint Paul, MN 55105. The listed phone number is (320) 232-9325.

What is Emerald Wings Hospice LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Emerald Wings Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2303268) is associated with this NPI, valid through April 22, 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 Emerald Wings Hospice LLC was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.