LEGACY OF BROWNSDALE, LLC
NPI 1477038966
Assisted Living Facility in Brownsdale, MN
About Legacy Of Brownsdale, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY OF BROWNSDALE, LLC (NPI 1477038966) is a healthcare organization registered as an assisted living facility in Brownsdale, Minnesota and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Deidra Sue Burke, Ceo, 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 24D2161731
Legacy Of Brownsdale · Brownsdale, MNFrequently 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 Legacy Of Brownsdale, LLC's NPI number?
The NPI number for Legacy Of Brownsdale, LLC is 1477038966. It was assigned to this organization in the NPPES registry on October 1, 2018.
Where is Legacy Of Brownsdale, LLC located?
Legacy Of Brownsdale, LLC is located at 105 Latham St NE, Brownsdale, MN 55918. The listed phone number is (507) 460-0235.
What is Legacy Of Brownsdale, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Legacy Of Brownsdale, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2161731) is associated with this NPI, valid through February 7, 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 Legacy Of Brownsdale, LLC was last updated on July 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Legacy Of Brownsdale, Llc · NPI 1477038966
Assisted Living Facility organization in Brownsdale, Minnesota. Organization record, active in the CMS NPPES registry since October 1, 2018.
## Identity
- **NPI:** 1477038966 (Entity type: Organization)
- **Enumerated:** October 1, 2018
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Deidra Burke, CEO
## Practice location
- **Address:** 105 LATHAM ST NE, Brownsdale, MN 55918
- **Phone:** (507) 460-0235
## Record status
- **NPPES last updated:** July 15, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477038966) · Data from the CMS NPPES public registry.