BEL RAE SENIOR LIVING
NPI 1235802844
Assisted Living Facility in Saint Paul, MN

Active since July 29, 2021CLIA 24D2091140 · Waiver
2330 MOUNDS VIEW BLVD, SAINT PAUL, MN 55112(763) 784-7633 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 19, 2021, Jul 29, 2021 (2 updates tracked since 2021).

  • Organization
  • Assisted Living Facility
  • CLIA Number: 24D2091140
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 02-05-2027

About BEL RAE SENIOR LIVING

This page provides the complete NPI Profile along with additional information for Bel Rae Senior Living, a provider established in Saint Paul, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1235802844 assigned on July 2021. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Bel Rae Senior Living. The authorized official of this NPI record is Shoshana Friedler (Billing Director)

NPI
1235802844 Verify this NPI
Provider Legal Name
MOUNDS VIEW OPERATIONS, LLC
Other Organization Name
BEL RAE SENIOR LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2330 MOUNDS VIEW BLVD SAINT PAUL, MN 55112
Location Phone
(763) 784-7633
Mailing Address
820 LILAC DR N GOLDEN VALLEY, MN 55422
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-29-2021
Last Update Date
10-19-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHOSHANA FRIEDLER

Authorized Official Title
BILLING DIRECTOR
Authorized Official Phone
(612) 578-2432

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2091140
Facility Type
Assisted Living Facility
Certificate Effective Date
February 06, 2025
Certificate Expiration Date
February 05, 2027
Laboratory Director
SUSAN LEATHES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bel Rae Senior Living to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility
2330 MOUNDS VIEW BLVD
SAINT PAUL, MN 55112
Assisted Living Facility
2330 MOUNDS VIEW BLVD
SAINT PAUL, MN 55112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235802844, enumerated as an "organization" on July 29, 2021.

The provider is located at 2330 MOUNDS VIEW BLVD SAINT PAUL, MN 55112 and the phone number is (763) 784-7633.

Assisted Living Facility with taxonomy code 310400000X.