TEMPERANCE LAKE RIDGE
NPI 1285690347
Assisted Living Facility in Sherburn, MN
About Temperance Lake Ridge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEMPERANCE LAKE RIDGE (NPI 1285690347) is a healthcare organization registered as an assisted living facility in Sherburn, Minnesota and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Howie Groff, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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 24D1034575
Temperance Lake Ridge · Sherburn, 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 Sherburn Economic Development Authority's NPI number?
The NPI number for Sherburn Economic Development Authority is 1285690347. It was assigned to this organization in the NPPES registry on April 25, 2006. The provider is doing business as Temperance Lake Ridge.
Where is Sherburn Economic Development Authority located?
Sherburn Economic Development Authority is located at 410 Fox Lake Ave, Sherburn, MN 56171. The listed phone number is (952) 888-2923.
What is Sherburn Economic Development Authority's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Sherburn Economic Development Authority hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D1034575) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Sherburn Economic Development Authority was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Temperance Lake Ridge · NPI 1285690347
Assisted Living Facility organization in Sherburn, Minnesota. Organization record, active in the CMS NPPES registry since April 25, 2006.
## Identity
- **NPI:** 1285690347 (Entity type: Organization)
- **Enumerated:** April 25, 2006
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Sherburn Economic Development Authority
- **Organization subpart:** No
- **Authorized official:** Howie Groff, PRESIDENT
## Practice location
- **Address:** 410 FOX LAKE AVE, Sherburn, MN 56171-9605
- **Phone:** (952) 888-2923
## Record status
- **NPPES last updated:** June 18, 2008
- **Other identifiers:** Other 329269 (MN); Medicaid 250473100 (MN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285690347) · Data from the CMS NPPES public registry.