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PEACE HEALTHCARE SYSTEMS
NPI 1326863002
Assisted Living Facility in Cottage Grove, MN

Active since November 18, 2024CLIA 24D2327284 · Waiver
8255 GRANGE BLVD, COTTAGE GROVE, MN 55016(651) 214-0975 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peace Healthcare Systems NPPES

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

PEACE HEALTHCARE SYSTEMS (NPI 1326863002) is a healthcare organization registered as an assisted living facility in Cottage Grove, Minnesota and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Fatai A Popoola, Lald, as its authorized official.

NPPES Registry Identity

NPI1326863002
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePEACE HEALTHCARE SYSTEMS
Location Address8255 GRANGE BLVDCottage Grove, MN 55016-4823
Mailing Address8255 Grange BlvdCottage Grove, MN 55016-4823 · (651) 214-0975
Phone(651) 214-0975
Organization SubpartNo
Authorized OfficialFatai A PopoolaLald · (651) 214-0975
Enumeration DateNovember 18, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1326863002 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.
8255 GRANGE BLVD, Cottage Grove, MN 55016
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Other Names 1

Doing Business AsPeace Healthcare Systems

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 24D2327284

Peace Healthcare Systems · Cottage Grove, MN
Active · expires Jul 20, 2027
CLIA Number24D2327284
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorOlufunke Popoola
Laboratory Phone(651) 376-3975
Laboratory LocationPeace Healthcare Systems8255 Grange Boulevard, Cottage Grove, MN 55016
CLIA data matches this NPI record on: Address 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 Peace Healthcare Systems's NPI number?

The NPI number for Peace Healthcare Systems is 1326863002. It was assigned to this organization in the NPPES registry on November 18, 2024.

Where is Peace Healthcare Systems located?

Peace Healthcare Systems is located at 8255 Grange Blvd, Cottage Grove, MN 55016. The listed phone number is (651) 214-0975.

What is Peace Healthcare Systems's specialty?

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

Does Peace Healthcare Systems hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2327284) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peace Healthcare Systems was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.