AGATE BAY ASSISTED LIVING LLC
NPI 1205426939
Skilled Nursing Facility in Two Harbors, MN
About Agate Bay Assisted Living Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGATE BAY ASSISTED LIVING LLC (NPI 1205426939) is a healthcare organization registered as a skilled nursing facility in Two Harbors, Minnesota and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Felisha Johnson, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 24D2005334
Agate Bay Assisted Living LLC · Two Harbors, MNOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Agate Bay Assisted Living LLC's NPI number?
The NPI number for Agate Bay Assisted Living LLC is 1205426939. It was assigned to this organization in the NPPES registry on January 26, 2021.
Where is Agate Bay Assisted Living LLC located?
Agate Bay Assisted Living LLC is located at 414 1st Ave, Two Harbors, MN 55616. The listed phone number is (218) 834-4015.
What is Agate Bay Assisted Living LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Agate Bay Assisted Living LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2005334) is associated with this NPI, valid through March 24, 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 Agate Bay Assisted Living LLC was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.