SHEPHERD'S HOME LLC
NPI 1295410660
Assisted Living Facility in Inver Grove Heights, MN

Q: What is Shepherd's Home LLC's NPI number?

The NPI number for Shepherd's Home LLC is 1295410660. It was assigned to this organization in the NPPES registry on June 21, 2023. The provider is doing business as Mangers Way Home.

Q: What is Shepherd's Home LLC's specialty?

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

Active since June 21, 2023CLIA Certified · 2 labs

10652 ALISON WAY, INVER GROVE HEIGHTS, MN 55077(612) 308-1220(612) 500-4723 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shepherd's Home Llc NPPES

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

SHEPHERD'S HOME LLC (NPI 1295410660), doing business as Mangers Way Home, is a healthcare organization registered as an assisted living facility in Inver Grove Heights, Minnesota and active in the NPI registry since June 2023. The organization holds 2 active CLIA laboratory certificates and lists Elibelle Jardio, Member, as its authorized official.

NPPES Registry Identity

NPI1295410660

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSHEPHERD'S HOME LLC

Location Address10652 ALISON WAYInver Grove Heights, MN 55077-5472

Mailing Address8381 Yearling DrWoodbury, MN 55129-7600 · (612) 308-1220

Phone(612) 308-1220

Fax(612) 500-4723

Organization SubpartNo

Authorized OfficialElibelle JardioMember · (612) 308-1220

Enumeration DateJune 21, 2023

NPPES CertifiedJune 21, 2023

✔ NPI 1295410660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

10652 ALISON WAY, Inver Grove Heights, MN 55077

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Other Names 1

Doing Business AsMangers Way Home

CLIA Laboratory Certificates CMS CLIA 2

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 24D2284762

Shepherd's Home LLC Dba Shepherd's Way Home · Woodbury, MN

Active · expires Jun 27, 2027

CLIA Number24D2284762

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 28, 2025

Certificate Expiration DateJune 27, 2027

Laboratory DirectorElibelle Jardio

Laboratory Phone(612) 308-1220

Laboratory LocationShepherd's Home LLC Dba Shepherd's Way Home8381 Yearling Dr, Woodbury, MN 55129

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2284412

Shepherd's Home LLC Dba Manger's Way Home · Inver Grove Heights, MN

Active · expires Jun 21, 2027

CLIA Number24D2284412

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 22, 2025

Certificate Expiration DateJune 21, 2027

Laboratory DirectorElibelle Jardio

Laboratory Phone(612) 308-1220

Laboratory LocationShepherd's Home LLC Dba Manger's Way Home10652 Alison Way, Inver Grove Heights, MN 55077

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FILIPINOAMERICAN HEALTH SERVICES PLC

Registered Nurse (Home Health)

10652 ALISON WAY
INVER GROVE HEIGHTS, MN 55077

Dakota County (623) 363-8691

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 Shepherd's Home LLC's NPI number?

The NPI number for Shepherd's Home LLC is 1295410660. It was assigned to this organization in the NPPES registry on June 21, 2023. The provider is doing business as Mangers Way Home.

Where is Shepherd's Home LLC located?

Shepherd's Home LLC is located at 10652 Alison Way, Inver Grove Heights, MN 55077. The listed phone number is (612) 308-1220.

What is Shepherd's Home LLC's specialty?

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

Does Shepherd's Home LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Shepherd's Home LLC was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.