MALA STRANA ASSISTED LIVING
NPI 1376921841
Assisted Living Facility in New Prague, MN

Active since May 15, 2015CLIA 24D0405031 · Waiver
999 COLUMBUS AVE N, NEW PRAGUE, MN 56071(952) 758-2511 Get Directions Write a Review

NPPES record last updated: May 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mala Strana Assisted Living NPPES

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

MALA STRANA ASSISTED LIVING (NPI 1376921841) is a healthcare organization registered as an assisted living facility in New Prague, Minnesota and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Joshua Legum, Manager, as its authorized official.

NPPES Registry Identity

NPI1376921841
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMALA STRANA ALF LLC
Location Address999 COLUMBUS AVE NNew Prague, MN 56071-2092
Mailing Address999 Columbus Ave NNew Prague, MN 56071-2092
Organization SubpartNo
Authorized OfficialJoshua LegumManager · (516) 410-5209
Enumeration DateMay 15, 2015
NPI 1376921841 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.
999 COLUMBUS AVE N, New Prague, MN 56071

Other Names 1

Doing Business AsMala Strana Assisted Living

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 24D0405031

Mala Strana Health Care · New Prague, MN
Active · expires Aug 31, 2026
CLIA Number24D0405031
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMichael Wilcox
Laboratory Phone(952) 758-2511
Laboratory LocationMala Strana Health Care1001 Columbus Ave N, New Prague, MN 56071
CLIA data matches this NPI record on: Phone
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.

Assisted Living Facility
999 COLUMBUS AVE N
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 Mala Strana Alf LLC's NPI number?

The NPI number for Mala Strana Alf LLC is 1376921841. It was assigned to this organization in the NPPES registry on May 15, 2015. The provider is doing business as Mala Strana Assisted Living.

Where is Mala Strana Alf LLC located?

Mala Strana Alf LLC is located at 999 Columbus Ave N, New Prague, MN 56071. The listed phone number is (952) 758-2511.

What is Mala Strana Alf LLC's specialty?

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

Does Mala Strana Alf LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0405031) is associated with this NPI, valid through August 31, 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 Mala Strana Alf LLC was last updated on May 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.