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LAKE VALLEY HOSPICE LLC
NPI 1558071910
Hospice Care, Community Based in St. Louis Park, MN

Active since November 28, 2022CLIA 24D2276308 · Waiver
4517 MINNETONKA BLVD, SUITE 105, ST. LOUIS PARK, MN 55416(612) 900-3667(952) 600-8199 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2024, May 7, 2023, Nov 28, 2022 (3 updates tracked since 2022).

About Lake Valley Hospice Llc NPPES

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

LAKE VALLEY HOSPICE LLC (NPI 1558071910) is a healthcare organization registered as a hospice care, community based in St. Louis Park, Minnesota and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Eran Ratner, Owner, as its authorized official.

NPPES Registry Identity

NPI1558071910
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameLAKE VALLEY HOSPICE LLC
Location Address4517 MINNETONKA BLVD, SUITE 105St. Louis Park, MN 55416-5400
Mailing Address4517 Minnetonka Blvd, Suite 105St. Louis Park, MN 55416-5400 · (612) 900-3667 · Fax (952) 600-8199
Phone(612) 900-3667
Fax(952) 600-8199
Organization SubpartNo
Authorized OfficialEran RatnerOwner · (516) 668-2204
Enumeration DateNovember 28, 2022
Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1558071910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
4517 MINNETONKA BLVD, St. Louis Park, MN 55416
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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 24D2276308

Lake Valley Hospice LLC · Saint Louis Park, MN
Active · expires Feb 6, 2027
CLIA Number24D2276308
Laboratory TypeHospice
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorTrisha Curioz
Laboratory Phone(612) 900-3667
Laboratory LocationLake Valley Hospice LLC4517 Minnetonka Rd, Saint Louis Park, MN 55416
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Lake Valley Hospice LLC (CMS certification number 241619), from CMS Care Compare.

Lake Valley Hospice LLC

Hospice · St. Louis Park, MN
CMS Certification Number241619
CMS RegionRegion 5
Medicare-Certified SinceDecember 21, 2023
Location4517 Minnetonka Blvd, Ste 105St. Louis Park, MN 55416
Phone(763) 220-0467

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENTLE CARE, INC.
Home Health
4517 MINNETONKA BLVD
ST LOUIS PARK, MN 55416
Hennepin County (651) 621-5693

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 Lake Valley Hospice LLC's NPI number?

The NPI number for Lake Valley Hospice LLC is 1558071910. It was assigned to this organization in the NPPES registry on November 28, 2022.

Where is Lake Valley Hospice LLC located?

Lake Valley Hospice LLC is located at 4517 Minnetonka Blvd Suite 105, St. Louis Park, MN 55416. The listed phone number is (612) 900-3667.

What is Lake Valley Hospice LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Lake Valley Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2276308) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lake Valley Hospice LLC a Medicare-certified hospice?

Yes. Lake Valley Hospice LLC is a Medicare-certified hospice (CMS certification number 241619), certified since December 21, 2023.

When was this NPI record last updated?

The NPPES record for Lake Valley Hospice LLC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.