EAGAN POINTE SENIOR LIVING
NPI 1285010074
Assisted Living Facility in Eagan, MN
About Eagan Pointe Senior Living NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGAN POINTE SENIOR LIVING (NPI 1285010074) is a healthcare organization registered as an assisted living facility in Eagan, Minnesota and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Kelly J Myers, Vice President Of Operations, 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 24D2096190
Eagan Pointe Senior Living · Eagan, MNFrequently 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 Eagan Pointe Senior Living's NPI number?
The NPI number for Eagan Pointe Senior Living is 1285010074. It was assigned to this organization in the NPPES registry on August 4, 2015.
Where is Eagan Pointe Senior Living located?
Eagan Pointe Senior Living is located at 4232 Black Hawk Road, Eagan, MN 55122. The listed phone number is (651) 492-6535.
What is Eagan Pointe Senior Living's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Eagan Pointe Senior Living hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2096190) is associated with this NPI, valid through May 18, 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 Eagan Pointe Senior Living was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Eagan Pointe Senior Living · NPI 1285010074
Assisted Living Facility organization in Eagan, Minnesota. Organization record, active in the CMS NPPES registry since August 4, 2015.
## Identity
- **NPI:** 1285010074 (Entity type: Organization)
- **Enumerated:** August 4, 2015
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Kelly Myers, VICE PRESIDENT OF OPERATIONS
## Practice location
- **Address:** 4232 BLACK HAWK ROAD, Eagan, MN 55122
- **Phone:** (651) 492-6535
## Record status
- **NPPES last updated:** August 4, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285010074) · Data from the CMS NPPES public registry.