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THE COMMONS ON MARICE
NPI 1578504437
Assisted Living Facility in Eagan, MN

Active since June 09, 2006CLIA 24D0999799 · Waiver
1380 MARICE DR, EAGAN, MN 55121(651) 688-9999(651) 688-7888 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About The Commons On Marice NPPES

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

THE COMMONS ON MARICE (NPI 1578504437) is a healthcare organization registered as an assisted living facility in Eagan, Minnesota and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Denise Gustafson, President, as its authorized official.

NPPES Registry Identity

NPI1578504437
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameILHC OF EAGAN, LLC
Location Address1380 MARICE DREagan, MN 55121-9748
Mailing Address1107 Hazeltine Blvd, Suite 200Chaska, MN 55318-1009 · (952) 361-8000 · Fax (952) 361-8058
Phone(651) 688-9999
Fax(651) 688-7888
Organization SubpartNo
Authorized OfficialDenise GustafsonPresident · (952) 361-8000
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 11, 2008
✔ NPI 1578504437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MN · 329867
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.
1380 MARICE DR, Eagan, MN 55121
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Other Names 1

Doing Business AsThe Commons On Marice

Other Identifiers 1

Medicaid344718900MN

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 24D0999799

The Commons On Marice · Eagan, MN
Active · expires May 21, 2028
CLIA Number24D0999799
Laboratory TypeHome Health Agency
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorMegan Bickner
Laboratory Phone(651) 688-9999
Laboratory LocationThe Commons On Marice1380 Marice Drive, Eagan, MN 55121
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EMILY MATTSON COTA
Occupational Therapy Assistant
1380 MARICE DR
EAGAN, MN 55121
Dakota County (651) 688-9999

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 Ilhc Of Eagan, LLC's NPI number?

The NPI number for Ilhc Of Eagan, LLC is 1578504437. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as The Commons On Marice.

Where is Ilhc Of Eagan, LLC located?

Ilhc Of Eagan, LLC is located at 1380 Marice Dr, Eagan, MN 55121. The listed phone number is (651) 688-9999.

What is Ilhc Of Eagan, LLC's specialty?

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

Does Ilhc Of Eagan, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0999799) is associated with this NPI, valid through May 21, 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 Ilhc Of Eagan, LLC was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.