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MAPLEWOOD ASSISTED LIVING LLC
NPI 1346018884
Assisted Living Facility in Maplewood, MN

Active since December 14, 2023CLIA 24D0954549 · Waiver
1900 SHERREN AVE E, MAPLEWOOD, MN 55109(651) 770-1361 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maplewood Assisted Living Llc NPPES

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

MAPLEWOOD ASSISTED LIVING LLC (NPI 1346018884) is a healthcare organization registered as an assisted living facility in Maplewood, Minnesota and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Joshua Legum, President, as its authorized official.

NPPES Registry Identity

NPI1346018884
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAPLEWOOD ASSISTED LIVING LLC
Location Address1900 SHERREN AVE EMaplewood, MN 55109-2803
Mailing Address1345 Corporate Center CurvEagan, MN 55121-1295 · (507) 203-1000
Phone(651) 770-1361
Organization SubpartNo
Authorized OfficialJoshua LegumPresident · (507) 203-1001
Enumeration DateDecember 14, 2023
NPPES CertifiedDecember 14, 2023
✔ NPI 1346018884 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.
1900 SHERREN AVE E, Maplewood, MN 55109
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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 24D0954549

Maplewood Assisted Living · Maplewood, MN
Active · expires Nov 30, 2026
CLIA Number24D0954549
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorMary Miller
Laboratory Phone(651) 770-3959
Laboratory LocationMaplewood Assisted Living1890 Sherren Avenue East, Maplewood, MN 55109
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 4

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

SAMANTHA BUERGER
Speech-Language Pathologist
1900 SHERREN AVE E
MAPLEWOOD, MN 55109
Ramsey County (651) 770-1365
MAPLEWOOD REHABILITATION CENTER LLC
Skilled Nursing Facility
1900 SHERREN AVE E
MAPLEWOOD, MN 55109
Ramsey County (651) 770-1365
ANNA MARIE NEVALA
Speech-Language Pathologist
1900 SHERREN AVE E
MAPLEWOOD, MN 55109
Ramsey County (651) 770-1365
VOA CARE CENTERS, MINNESOTA
Skilled Nursing Facility
1900 SHERREN AVE E
SAINT PAUL, MN 55109
Ramsey County (651) 770-1365

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 Maplewood Assisted Living LLC's NPI number?

The NPI number for Maplewood Assisted Living LLC is 1346018884. It was assigned to this organization in the NPPES registry on December 14, 2023.

Where is Maplewood Assisted Living LLC located?

Maplewood Assisted Living LLC is located at 1900 Sherren Ave E, Maplewood, MN 55109. The listed phone number is (651) 770-1361.

What is Maplewood Assisted Living LLC's specialty?

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

Does Maplewood Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0954549) is associated with this NPI, valid through November 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 Maplewood Assisted Living LLC was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.