MEADOWS OF WORTHINGTON
NPI 1265646236
Assisted Living Facility in Worthington, MN

Active since May 09, 2007CLIA 24D1048703 · Waiver
1801 COLLEGEWAY, WORTHINGTON, MN 56187(507) 372-7838 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Meadows Of Worthington NPPES

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

MEADOWS OF WORTHINGTON (NPI 1265646236) is a healthcare organization registered as an assisted living facility in Worthington, Minnesota and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Kathryn R Roberts, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265646236
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameECUMEN
Location Address1801 COLLEGEWAYWorthington, MN 56187-3075
Mailing Address3530 Lexington Ave NShoreview, MN 55126-8164 · (651) 766-4300
Organization SubpartNo
Authorized OfficialKathryn R RobertsCeo · (651) 766-4300
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1265646236 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 · 335238
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.
1801 COLLEGEWAY, Worthington, MN 56187

Other Names 1

Other NameMeadows Of Worthington

Other Identifiers 1

Medicaid118417200MN

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 24D1048703

Ecumen Worthington The Meadows · Worthington, MN
Active · expires Dec 7, 2027
CLIA Number24D1048703
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorTami D. Haley
Laboratory Phone(507) 372-7838
Laboratory LocationEcumen Worthington The Meadows1801 Collegeway, Worthington, MN 56187
CLIA data matches this NPI record on: Address 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 Ecumen's NPI number?

The NPI number for Ecumen is 1265646236. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is also known as Meadows Of Worthington.

Where is Ecumen located?

Ecumen is located at 1801 Collegeway, Worthington, MN 56187. The listed phone number is (507) 372-7838.

What is Ecumen's specialty?

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

Does Ecumen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1048703) is associated with this NPI, valid through December 7, 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 Ecumen was last updated on August 22, 2020. 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.