SHOREVIEW SENIOR LIVING LLC
NPI 1497095491
Assisted Living Facility in Shoreview, MN
About Shoreview Senior Living Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHOREVIEW SENIOR LIVING LLC (NPI 1497095491) is a healthcare organization registered as an assisted living facility in Shoreview, Minnesota and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Lance E Lemieux, 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 24D2087653
Shoreview Senior Living · Shoreview, 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 Shoreview Senior Living LLC's NPI number?
The NPI number for Shoreview Senior Living LLC is 1497095491. It was assigned to this organization in the NPPES registry on February 27, 2013.
Where is Shoreview Senior Living LLC located?
Shoreview Senior Living LLC is located at 4710 Cumberland St, Shoreview, MN 55126. The listed phone number is (651) 454-4801.
What is Shoreview Senior Living LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Shoreview Senior Living LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2087653) is associated with this NPI, valid through December 1, 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 Shoreview Senior Living LLC was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Shoreview Senior Living Llc · NPI 1497095491
Assisted Living Facility organization in Shoreview, Minnesota. Organization record, active in the CMS NPPES registry since February 27, 2013.
## Identity
- **NPI:** 1497095491 (Entity type: Organization)
- **Enumerated:** February 27, 2013
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Lance Lemieux, PRESIDENT
## Practice location
- **Address:** 4710 CUMBERLAND ST, Shoreview, MN 55126-6063
- **Phone:** (651) 454-4801
## Record status
- **NPPES last updated:** February 27, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497095491) · Data from the CMS NPPES public registry.