GUARDIAN ANGELS BY THE LAKE
NPI 1346730363
Assisted Living Facility in Elk River, MN
About Guardian Angels By The Lake NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUARDIAN ANGELS BY THE LAKE (NPI 1346730363) is a healthcare organization registered as an assisted living facility in Elk River, Minnesota and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Troy Hanson, Vp, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Other Identifiers 1
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 24D1029222
Guardian Angels By The Lake · Elk River, MNFrequently 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 Evans Park, Inc's NPI number?
The NPI number for Evans Park, Inc is 1346730363. It was assigned to this organization in the NPPES registry on May 15, 2018. The provider is doing business as Guardian Angels By The Lake.
Where is Evans Park, Inc located?
Evans Park, Inc is located at 13439 185th Ln NW, Elk River, MN 55330. The listed phone number is (763) 241-7682.
What is Evans Park, Inc's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Evans Park, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D1029222) is associated with this NPI, valid through August 11, 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 Evans Park, Inc was last updated on May 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.
