THE PRAIRIE LODGE AT EARLE BROWN
NPI 1497969455
Assisted Living Facility in Brooklyn Center, MN
About The Prairie Lodge At Earle Brown NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE PRAIRIE LODGE AT EARLE BROWN (NPI 1497969455) is a healthcare organization registered as an assisted living facility in Brooklyn Center, Minnesota and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Kathryn R Roberts, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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 24D1036605
The Prairie Lodge At Earle Brown · Brooklyn Center, MNOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN CENTER, MN 55430
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 Ecumen Home Care's NPI number?
The NPI number for Ecumen Home Care is 1497969455. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is also known as The Prairie Lodge At Earle Brown.
Where is Ecumen Home Care located?
Ecumen Home Care is located at 6001 Earle Brown Dr, Brooklyn Center, MN 55430. The listed phone number is (763) 566-1495.
What is Ecumen Home Care's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Ecumen Home Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D1036605) is associated with this NPI, valid through February 6, 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 Ecumen Home Care was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# The Prairie Lodge At Earle Brown · NPI 1497969455
Assisted Living Facility organization in Brooklyn Center, Minnesota. Organization record, active in the CMS NPPES registry since May 9, 2007.
## Identity
- **NPI:** 1497969455 (Entity type: Organization)
- **Enumerated:** May 9, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Ecumen Home Care
- **Organization subpart:** No
- **Authorized official:** Kathryn Roberts, CEO
## Practice location
- **Address:** 6001 EARLE BROWN DR, Brooklyn Center, MN 55430-2522
- **Phone:** (763) 566-1495
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other V202864571122603; Other 4980500
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497969455) · Data from the CMS NPPES public registry.