MARANATHA PLACE
NPI 1326464538
Assisted Living Facility in Brooklyn Center, MN

Active since March 12, 2014CLIA 24D2194487 · Waiver
5401 69TH AVE N, BROOKLYN CENTER, MN 55429(763) 549-9600 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maranatha Place NPPES

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

MARANATHA PLACE (NPI 1326464538) is a healthcare organization registered as an assisted living facility in Brooklyn Center, Minnesota and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Mark Meyer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326464538
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCENTER PARK SENIOR APARTMENTS, INC.
Location Address5401 69TH AVE NBrooklyn Center, MN 55429-1505
Mailing Address5401 69th Ave NBrooklyn Center, MN 55429-1505 · (763) 549-9600
Organization SubpartNo
Authorized OfficialMark MeyerCfo · (651) 631-6120
Enumeration DateMarch 12, 2014
NPI 1326464538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MN · 357410
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.
5401 69TH AVE N, Brooklyn Center, MN 55429

Other Names 1

Other NameMaranatha Place

Other Identifiers 1

OtherA438663000MN · Umpi

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 24D2194487

Center Park Senior Apartments - Maranatha Place · Brooklyn Center, MN
Active · expires Sep 30, 2026
CLIA Number24D2194487
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorJonathan Nelson
Laboratory Phone(763) 549-9601
Laboratory LocationCenter Park Senior Apartments - Maranatha Place5415 69th Ave N, Brooklyn Center, MN 55429
CLIA data matches this NPI record on: Name
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.

Physical Therapist
5401 69TH AVE N
BROOKLYN CENTER, MN 55429

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 Center Park Senior Apartments, Inc.'s NPI number?

The NPI number for Center Park Senior Apartments, Inc. is 1326464538. It was assigned to this organization in the NPPES registry on March 12, 2014. The provider is also known as Maranatha Place.

Where is Center Park Senior Apartments, Inc. located?

Center Park Senior Apartments, Inc. is located at 5401 69th Ave N, Brooklyn Center, MN 55429. The listed phone number is (763) 549-9600.

What is Center Park Senior Apartments, Inc.'s specialty?

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

Does Center Park Senior Apartments, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2194487) is associated with this NPI, valid through September 30, 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 Center Park Senior Apartments, Inc. was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.