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PARK LANE ESTATES ASSISTED LIVING
NPI 1326226853
Home Health in Preston, MN

Active since February 06, 2008CLIA 24D1035152 · Waiver
111 FILLMORE PL SE, PRESTON, MN 55965(507) 765-9986(507) 765-9987 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Lane Estates Assisted Living NPPES

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

PARK LANE ESTATES ASSISTED LIVING (NPI 1326226853) is a healthcare organization registered as a home health in Preston, Minnesota and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Chuck Lane, Owner, as its authorized official.

NPPES Registry Identity

NPI1326226853
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePARK LANE ESTATES ASSISTED LIVING
Location Address111 FILLMORE PL SEPreston, MN 55965-1140
Mailing Address111 Fillmore Pl SePreston, MN 55965-1140 · (507) 765-9986 · Fax (507) 765-9987
Phone(507) 765-9986
Fax(507) 765-9987
Organization SubpartNo
Authorized OfficialChuck LaneOwner · (218) 692-6640
Enumeration DateFebruary 6, 2008
✔ NPI 1326226853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MN · 5399731
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
111 FILLMORE PL SE, Preston, MN 55965
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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 24D1035152

Park Lane Estates Assisted Living · Preston, MN
Active · expires Dec 20, 2026
CLIA Number24D1035152
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorKelly Douglas
Laboratory Phone(507) 765-9986
Laboratory LocationPark Lane Estates Assisted Living410 Park Lane St, Preston, MN 55965
CLIA data matches this NPI record on: Name Phone
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 Park Lane Estates Assisted Living's NPI number?

The NPI number for Park Lane Estates Assisted Living is 1326226853. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Park Lane Estates Assisted Living located?

Park Lane Estates Assisted Living is located at 111 Fillmore Pl SE, Preston, MN 55965. The listed phone number is (507) 765-9986.

What is Park Lane Estates Assisted Living's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Park Lane Estates Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1035152) is associated with this NPI, valid through December 20, 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 Park Lane Estates Assisted Living was last updated on February 6, 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.