SUITE LIVING OF PRIOR LAKE
NPI 1316515638
Assisted Living Facility in Prior Lake, MN

Active since June 14, 2021CLIA 24D2269446 · Waiver
5800 CREDIT RIVER RD SE, PRIOR LAKE, MN 55372(651) 770-2273 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2023, Dec 14, 2021, Jun 14, 2021 (3 updates tracked since 2021).

About Suite Living Of Prior Lake NPPES

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

SUITE LIVING OF PRIOR LAKE (NPI 1316515638) is a healthcare organization registered as an assisted living facility in Prior Lake, Minnesota and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through September 26, 2026 and lists Audrey Mcelwain, Director, as its authorized official.

NPPES Registry Identity

NPI1316515638
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUITE LIVING OF PRIOR LAKE
Location Address5800 CREDIT RIVER RD SEPrior Lake, MN 55372
Mailing Address1824 Buerkle RdWhite Bear Lake, MN 55110-5245 · (651) 770-2273
Organization SubpartNo
Authorized OfficialAudrey McelwainDirector · (651) 770-2273
Enumeration DateJune 14, 2021
Last NPPES UpdateMarch 24, 20233 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
NPI 1316515638 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.

5800 CREDIT RIVER RD SE, Prior Lake, MN 55372

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 24D2269446

Suite Living Of Prior Lake · Prior Lake, MN
Active · expires Sep 26, 2026
CLIA Number24D2269446
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorMichele M. Nyarecha
Laboratory Phone(952) 693-0085
Laboratory LocationSuite Living Of Prior Lake5600 Credit River Road SE, Prior Lake, MN 55372
CLIA data matches this NPI record on: Name
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 Suite Living Of Prior Lake's NPI number?

The NPI number for Suite Living Of Prior Lake is 1316515638. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is Suite Living Of Prior Lake located?

Suite Living Of Prior Lake is located at 5800 Credit River Rd SE, Prior Lake, MN 55372. The listed phone number is (651) 770-2273.

What is Suite Living Of Prior Lake's specialty?

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

Does Suite Living Of Prior Lake hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2269446) is associated with this NPI, valid through September 26, 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 Suite Living Of Prior Lake was last updated on March 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.