THE LEGACY OF ST MICHAEL
NPI 1417289968
Assisted Living Facility in Saint Michael, MN
About The Legacy Of St Michael NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE LEGACY OF ST MICHAEL (NPI 1417289968) is a healthcare organization registered as an assisted living facility in Saint Michael, Minnesota and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through February 7, 2028 and lists Howie Groff, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 24D2003360
The Legacy Of St Michael · Saint Michael, MNOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 The Legacy Of St Michael's NPI number?
The NPI number for The Legacy Of St Michael is 1417289968. It was assigned to this organization in the NPPES registry on February 9, 2010.
Where is The Legacy Of St Michael located?
The Legacy Of St Michael is located at 4400 Lange Ave NE, Saint Michael, MN 55376. The listed phone number is (763) 367-0970.
What is The Legacy Of St Michael's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does The Legacy Of St Michael hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2003360) is associated with this NPI, valid through February 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for The Legacy Of St Michael was last updated on February 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# The Legacy Of St Michael · NPI 1417289968
Assisted Living Facility organization in Saint Michael, Minnesota. Organization record, active in the CMS NPPES registry since February 9, 2010.
## Identity
- **NPI:** 1417289968 (Entity type: Organization)
- **Enumerated:** February 9, 2010
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Howie Groff, PRESIDENT
## Practice location
- **Address:** 4400 LANGE AVE NE, Saint Michael, MN 55376-9528
- **Phone:** (763) 367-0970
## Record status
- **NPPES last updated:** February 9, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417289968) · Data from the CMS NPPES public registry.