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MEADOW WOODS
NPI 1386836971
Assisted Living Facility in Bloomington, MN

Active since August 16, 2007CLIA 24D1043002 · Waiver
1301 E 100TH ST, BLOOMINGTON, MN 55425(952) 888-1010 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Meadow Woods NPPES

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

MEADOW WOODS (NPI 1386836971) is a healthcare organization registered as an assisted living facility in Bloomington, Minnesota and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Denver Kaufman, President, as its authorized official.

NPPES Registry Identity

NPI1386836971
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMEADOW WOODS OF BLOOMINGTON LP
Location Address1301 E 100TH STBloomington, MN 55425-2628
Mailing Address1401 E 100th StBloomington, MN 55425-2615 · (952) 888-7751
Phone(952) 888-1010
Organization SubpartNo
Authorized OfficialDenver KaufmanPresident · (612) 371-0053
Enumeration DateAugust 16, 2007
Last NPPES UpdateNovember 5, 2007
✔ NPI 1386836971 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.

1301 E 100TH ST, Bloomington, MN 55425
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Other Names 1

Doing Business AsMeadow Woods

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 24D1043002

Meadow Woods Assisted Living · Bloomington, MN
Active · expires Jul 12, 2027
CLIA Number24D1043002
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorTerri Feldick
Laboratory Phone(952) 888-1010
Laboratory LocationMeadow Woods Assisted Living1301 E 100th Street, Bloomington, MN 55425
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Meadow Woods Of Bloomington LP's NPI number?

The NPI number for Meadow Woods Of Bloomington LP is 1386836971. It was assigned to this organization in the NPPES registry on August 16, 2007. The provider is doing business as Meadow Woods.

Where is Meadow Woods Of Bloomington LP located?

Meadow Woods Of Bloomington LP is located at 1301 E 100th St, Bloomington, MN 55425. The listed phone number is (952) 888-1010.

What is Meadow Woods Of Bloomington LP's specialty?

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

Does Meadow Woods Of Bloomington LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1043002) is associated with this NPI, valid through July 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Meadow Woods Of Bloomington LP was last updated on November 5, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.