Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRAHA VILLAGE LLC
NPI 1366154783
Assisted Living Facility in New Prague, MN

Active since December 16, 2022CLIA 24D2155589 · Waiver
1100 1ST ST SE, NEW PRAGUE, MN 56071(952) 855-5041 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2026, Dec 16, 2022 (2 updates tracked since 2022).

About Praha Village Llc NPPES

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

PRAHA VILLAGE LLC (NPI 1366154783) is a healthcare organization registered as an assisted living facility in New Prague, Minnesota and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Seelochani Stadtherr, Avp, Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1366154783
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRAHA VILLAGE LLC
Location Address1100 1ST ST SENew Prague, MN 56071-2604
Mailing Address7171 Ohms LnEdina, MN 55439-2142
Organization SubpartNo
Authorized OfficialSeelochani StadtherrAvp, Revenue Cycle Management · (952) 855-5041
Enumeration DateDecember 16, 2022
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1366154783 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.
1100 1ST ST SE, New Prague, MN 56071

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 24D2155589

Praha Village · New Prague, MN
Active · expires Oct 1, 2026
CLIA Number24D2155589
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorAshley Wagner
Laboratory Phone(952) 855-8855
Laboratory LocationPraha Village1100 1st Street SE, New Prague, MN 56071
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Assisted Living Facility
1100 1ST ST SE
NEW PRAGUE, MN 56071
Assisted Living Facility
1100 1ST ST SE
NEW PRAGUE, MN 56071

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 Praha Village LLC's NPI number?

The NPI number for Praha Village LLC is 1366154783. It was assigned to this organization in the NPPES registry on December 16, 2022.

Where is Praha Village LLC located?

Praha Village LLC is located at 1100 1st St SE, New Prague, MN 56071. The listed phone number is (952) 855-5041.

What is Praha Village LLC's specialty?

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

Does Praha Village LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2155589) is associated with this NPI, valid through October 1, 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 Praha Village LLC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.