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LEGACY PLACE
NPI 1255720074
Assisted Living Facility in Sauk Rapids, MN

Active since January 16, 2015CLIA 24D2090963 · Waiver
902 15TH ST NE, SAUK RAPIDS, MN 56379(320) 259-7988 Get Directions Write a Review

NPPES record last updated: January 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legacy Place NPPES

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

LEGACY PLACE (NPI 1255720074) is a healthcare organization registered as an assisted living facility in Sauk Rapids, Minnesota and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Todd Norman, Owner, as its authorized official.

NPPES Registry Identity

NPI1255720074
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLEGACY PLACE
Location Address902 15TH ST NESauk Rapids, MN 56379-9605
Mailing Address1120 11th Ave SeSaint Cloud, MN 56304-1708 · (320) 492-4677
Phone(320) 259-7988
Organization SubpartNo
Authorized OfficialTodd NormanOwner · (320) 492-4677
Enumeration DateJanuary 16, 2015
✔ NPI 1255720074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 370371
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.
902 15TH ST NE, Sauk Rapids, MN 56379
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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 24D2090963

Legacy Place LLC · Sauk Rapids, MN
Active · expires Feb 2, 2027
CLIA Number24D2090963
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorSusan Garding
Laboratory Phone(320) 259-7988
Laboratory LocationLegacy Place LLC902 15th Ave NE, Sauk Rapids, MN 56379
CLIA data matches this NPI record on: Name Phone
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 Place's NPI number?

The NPI number for Legacy Place is 1255720074. It was assigned to this organization in the NPPES registry on January 16, 2015.

Where is Legacy Place located?

Legacy Place is located at 902 15th St NE, Sauk Rapids, MN 56379. The listed phone number is (320) 259-7988.

What is Legacy Place's specialty?

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

Does Legacy Place hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2090963) is associated with this NPI, valid through February 2, 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 Place was last updated on January 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.