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BEACON HOME OF WEDGEWOOD
NPI 1437578283
Assisted Living Facility in Woodbury, MN

Active since April 09, 2014CLIA 24D2154728 · Waiver
3610 MOUNT VERNON LN, WOODBURY, MN 55129(651) 714-7075(651) 344-4401 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beacon Home Of Wedgewood NPPES

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

BEACON HOME OF WEDGEWOOD (NPI 1437578283) is a healthcare organization registered as an assisted living facility in Woodbury, Minnesota and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Leigh Ann Thompson, Vp, Controller, as its authorized official.

NPPES Registry Identity

NPI1437578283
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE HENDRICKS GROUP INC.
Location Address3610 MOUNT VERNON LNWoodbury, MN 55129-9382
Mailing Address1355 Mendota Heights Rd Ste 260Mendota Heights, MN 55120-1168 · (651) 451-2889 · Fax (651) 451-5955
Phone(651) 714-7075
Fax(651) 344-4401
Organization SubpartNo
Authorized OfficialLeigh Ann ThompsonVp, Controller · (615) 948-6597
Enumeration DateApril 9, 2014
Last NPPES UpdateMarch 8, 2024
NPPES CertifiedMarch 8, 2024
✔ NPI 1437578283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 360014
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.
3610 MOUNT VERNON LN, Woodbury, MN 55129
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Other Names 2

Doing Business AsBeacon Home Of Wedgewood
Doing Business AsHometown Senior 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 24D2154728

Beacon Home Of Wedgewood Central · Woodbury, MN
Active · expires Sep 17, 2026
CLIA Number24D2154728
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorAutumn Ostergaard
Laboratory Phone(651) 348-2236
Laboratory LocationBeacon Home Of Wedgewood Central3602 Mount Vernon Ct, Woodbury, MN 55129
CLIA data matches this NPI record on: Name
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 The Hendricks Group Inc.'s NPI number?

The NPI number for The Hendricks Group Inc. is 1437578283. It was assigned to this organization in the NPPES registry on April 9, 2014. The provider is doing business as Beacon Home Of Wedgewood and Hometown Senior Living.

Where is The Hendricks Group Inc. located?

The Hendricks Group Inc. is located at 3610 Mount Vernon Ln, Woodbury, MN 55129. The listed phone number is (651) 714-7075.

What is The Hendricks Group Inc.'s specialty?

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

Does The Hendricks Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2154728) is associated with this NPI, valid through September 17, 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 The Hendricks Group Inc. was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.