WHITEFISH AT THE LAKES OPCO LLC
NPI 1285589689
Assisted Living Facility in Crosslake, MN
About Whitefish At The Lakes Opco Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITEFISH AT THE LAKES OPCO LLC (NPI 1285589689) is a healthcare organization registered as an assisted living facility in Crosslake, Minnesota and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Jordan Ryan, Vp Business Strategy, 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 24D2174544
Whitefish At The Lakes Senior Living · Crosslake, 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 Whitefish At The Lakes Opco LLC's NPI number?
The NPI number for Whitefish At The Lakes Opco LLC is 1285589689. It was assigned to this organization in the NPPES registry on March 2, 2026.
Where is Whitefish At The Lakes Opco LLC located?
Whitefish At The Lakes Opco LLC is located at 35625 Ostlund Ave, Crosslake, MN 56442. The listed phone number is (218) 210-0770.
What is Whitefish At The Lakes Opco LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Whitefish At The Lakes Opco LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2174544) is associated with this NPI, valid through November 4, 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 Whitefish At The Lakes Opco LLC was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Whitefish At The Lakes Opco Llc · NPI 1285589689
Assisted Living Facility organization in Crosslake, Minnesota. Organization record, active in the CMS NPPES registry since March 2, 2026.
## Identity
- **NPI:** 1285589689 (Entity type: Organization)
- **Enumerated:** March 2, 2026
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Jordan Ryan, VP BUSINESS STRATEGY
## Practice location
- **Address:** 35625 OSTLUND AVE, Crosslake, MN 56442-3900
- **Phone:** (218) 210-0770
## Record status
- **NPPES last updated:** March 2, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285589689) · Data from the CMS NPPES public registry.