KAYO HEALTH CARE CENTER LLC
NPI 1487475794
Assisted Living Facility in Fridley, MN
About Kayo Health Care Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYO HEALTH CARE CENTER LLC (NPI 1487475794) is a healthcare organization registered as an assisted living facility in Fridley, Minnesota and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through September 18, 2026 and lists Zeritu Woyesa Mutal, Authorized Agent, 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 24D2311255
Kayo Health Care Center LLC · Fridley, 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 Kayo Health Care Center LLC's NPI number?
The NPI number for Kayo Health Care Center LLC is 1487475794. It was assigned to this organization in the NPPES registry on October 19, 2024.
Where is Kayo Health Care Center LLC located?
Kayo Health Care Center LLC is located at 5941 6th St NE, Fridley, MN 55432. The listed phone number is (612) 309-8940.
What is Kayo Health Care Center LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Kayo Health Care Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2311255) is associated with this NPI, valid through September 18, 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 Kayo Health Care Center LLC was last updated on October 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Kayo Health Care Center Llc · NPI 1487475794
Assisted Living Facility organization in Fridley, Minnesota. Organization record, active in the CMS NPPES registry since October 19, 2024.
## Identity
- **NPI:** 1487475794 (Entity type: Organization)
- **Enumerated:** October 19, 2024
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Zeritu Mutal, AUTHORIZED AGENT
## Practice location
- **Address:** 5941 6TH ST NE, Fridley, MN 55432-5530
- **Phone:** (612) 309-8940
## Record status
- **NPPES last updated:** October 19, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1487475794) · Data from the CMS NPPES public registry.