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AUTUMN GRACE
NPI 1346785144
Assisted Living Facility in Mankato, MN

Active since January 03, 2017CLIA Certified · 2 labs
118 RAVEN CT, MANKATO, MN 56001(507) 388-5412 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Grace NPPES

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

AUTUMN GRACE (NPI 1346785144) is a healthcare organization registered as an assisted living facility in Mankato, Minnesota and active in the NPI registry since January 2017. The organization holds 2 active CLIA laboratory certificates and lists Robert Sweet, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1346785144
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMS-AC MANKATO AG SENIOR LIVING LLC
Location Address118 RAVEN CTMankato, MN 56001-8431
Mailing Address1300 Spring St, Ste 205Silver Spring, MD 20910-3616 · (240) 595-6064
Phone(507) 388-5412
Organization SubpartYesParent: Meristar Acas Holdings, Llc
Authorized OfficialRobert SweetAuthorized Representative · (240) 595-6064
Enumeration DateJanuary 3, 2017
✔ NPI 1346785144 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.
118 RAVEN CT, Mankato, MN 56001
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Other Names 1

Doing Business AsAutumn Grace

CLIA Laboratory Certificates CMS CLIA 2

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 24D1033806

Autumn Grace · Mankato, MN
Active · expires Nov 16, 2026
CLIA Number24D1033806
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorBrandi Ruprecht
Laboratory Phone(507) 388-0640
Laboratory LocationAutumn Grace118 Raven Court, Mankato, MN 56001
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D1083107

Autumn Grace II · Mankato, MN
Active · expires Apr 24, 2028
CLIA Number24D1083107
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorBrandi Ruprecht
Laboratory Phone(507) 388-3660
Laboratory LocationAutumn Grace II110 Raven Court, Mankato, MN 56001
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.

GRAQCE SENIOR SERVICES, INC.
Nursing Care
118 RAVEN CT
MANKATO, MN 56001
Blue Earth County (507) 388-0645

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 Ms-Ac Mankato Ag Senior Living LLC's NPI number?

The NPI number for Ms-Ac Mankato Ag Senior Living LLC is 1346785144. It was assigned to this organization in the NPPES registry on January 3, 2017. The provider is doing business as Autumn Grace.

Where is Ms-Ac Mankato Ag Senior Living LLC located?

Ms-Ac Mankato Ag Senior Living LLC is located at 118 Raven Ct, Mankato, MN 56001. The listed phone number is (507) 388-5412.

What is Ms-Ac Mankato Ag Senior Living LLC's specialty?

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

Does Ms-Ac Mankato Ag Senior Living LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ms-Ac Mankato Ag Senior Living LLC was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.