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LEGACY CARE HOME
NPI 1538098579
Assisted Living Facility in Minnetonka, MN

Active since May 15, 2026CLIA 24D1085477 · Waiver
14814 CROWN DR, MINNETONKA, MN 55345(612) 964-8376(763) 201-5991 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Care Home NPPES

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

LEGACY CARE HOME (NPI 1538098579) is a healthcare organization registered as an assisted living facility in Minnetonka, Minnesota and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through June 17, 2028 and lists Stephanie Fryer, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1538098579
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLEGACY CARE HOME
Location Address14814 CROWN DRMinnetonka, MN 55345-3601
Mailing Address14814 Crown DrMinnetonka, MN 55345-3601 · (612) 964-8376 · Fax (763) 201-5991
Phone(612) 964-8376
Fax(763) 201-5991
Organization SubpartNo
Authorized OfficialStephanie FryerDirector Of Operations · (763) 300-7875
Enumeration DateMay 15, 2026
NPPES CertifiedMay 15, 2026
✔ NPI 1538098579 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.
14814 CROWN DR, Minnetonka, MN 55345
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Other Identifiers 1

OtherM998147500MN · Umpi

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 24D1085477

Legacy Care Home · Minnetonka, MN
Active · expires Jun 17, 2028
CLIA Number24D1085477
Laboratory TypeOther
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorCatalina Hemp
Laboratory Phone(612) 810-7537
Laboratory LocationLegacy Care Home14900 Crown Drive, Minnetonka, MN 55345
CLIA data matches this NPI record on: Name
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 Legacy Care Home's NPI number?

The NPI number for Legacy Care Home is 1538098579. It was assigned to this organization in the NPPES registry on May 15, 2026.

Where is Legacy Care Home located?

Legacy Care Home is located at 14814 Crown Dr, Minnetonka, MN 55345. The listed phone number is (612) 964-8376.

What is Legacy Care Home's specialty?

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

Does Legacy Care Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1085477) is associated with this NPI, valid through June 17, 2028. 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 Care Home was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.