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MIDWEST GROUP LIVING INC.
NPI 1457837668
Assisted Living Facility in Minneapolis, MN

Active since July 11, 2018CLIA 24D2175522 · Waiver
3552 1ST AVE S, MINNEAPOLIS, MN 55408(952) 457-3802(612) 454-2629 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Midwest Group Living Inc. NPPES

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

MIDWEST GROUP LIVING INC. (NPI 1457837668) is a healthcare organization registered as an assisted living facility in Minneapolis, Minnesota and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Hesen Shire, Owner, as its authorized official.

NPPES Registry Identity

NPI1457837668
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMIDWEST GROUP LIVING INC.
Location Address3552 1ST AVE SMinneapolis, MN 55408-4509
Mailing Address415 Cedar Ave SMinneapolis, MN 55454-1011 · (952) 457-3802 · Fax (612) 454-2629
Phone(952) 457-3802
Fax(612) 454-2629
Organization SubpartNo
Authorized OfficialHesen ShireOwner · (612) 222-1111
Enumeration DateJuly 11, 2018
✔ NPI 1457837668 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.
3552 1ST AVE S, Minneapolis, MN 55408
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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 24D2175522

Midwest Group Living Inc · Minneapolis, MN
Active · expires Nov 21, 2027
CLIA Number24D2175522
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorHesen Shire
Laboratory Phone(952) 457-3802
Laboratory LocationMidwest Group Living Inc3552 1st Ave S, Minneapolis, MN 55408
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 Midwest Group Living Inc.'s NPI number?

The NPI number for Midwest Group Living Inc. is 1457837668. It was assigned to this organization in the NPPES registry on July 11, 2018.

Where is Midwest Group Living Inc. located?

Midwest Group Living Inc. is located at 3552 1st Ave S, Minneapolis, MN 55408. The listed phone number is (952) 457-3802.

What is Midwest Group Living Inc.'s specialty?

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

Does Midwest Group Living Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2175522) is associated with this NPI, valid through November 21, 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 Midwest Group Living Inc. was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.